Theresa A Simpson, LCSW - Medicare Clinical Social Worker in Portland, ME

Theresa A Simpson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice The Counseling Center Of Nashua Inc and her current practice location is 84 Marginal Way, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 774-5816.

Theresa A Simpson is licensed to practice in Maine (license number LC6842) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376778449.

Contact Information

Theresa A Simpson, LCSW
84 Marginal Way,
Portland, ME 04101-2443
(207) 774-5816
(207) 523-8595

Map and Direction




Healthcare Provider's Profile

Full NameTheresa A Simpson
GenderFemale
SpecialityClinical Social Worker
Experience26 Years
Location84 Marginal Way, Portland, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa A Simpson graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1376778449
  • Provider Enumeration Date: 05/19/2009
  • Last Update Date: 05/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0941242531
  • Enrollment ID: I20050524000850

Medical Identifiers

Medical identifiers for Theresa A Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376778449NPI-NPPES
432087899MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LC6842 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Counseling Center Of Nashua Inc327452375886

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa A Simpson allows following entities to bill medicare on her behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166
Entity NameThe Counseling Center Of Nashua Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144275389
PECOS PAC ID: 3274523758
Enrollment ID: O20201209003064

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa A Simpson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa A Simpson, LCSW
100 Gannett Drive, Suite C,
South Portland, ME 04106

Ph: (207) 523-3649
Theresa A Simpson, LCSW
84 Marginal Way,
Portland, ME 04101-2443

Ph: (207) 774-5816

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.