MATTHEW J NUTT (LCSW) – Clinical Social Worker, NPI 1497856876

MATTHEW J NUTT (LCSW) is a healthcare provider. based in Old town, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LC7720 (). The NPI Number for MATTHEW J NUTT (LCSW) is 1497856876

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW J NUTT (LCSW)
NPI
1497856876
Phone
(207) 827-6128
Address
242 Brunswick St
Enumeration Date
26 September 2006
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
4486699667
Group Practice PAC ID
8325946213
Professional Enrollment ID
I20050628000634
Address ID
ME040721536SA50XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,104 CLINICAL SOCIAL WORKER in ME

Provider Addresses for MATTHEW J NUTT (LCSW)

  • 242 Brunswick St

    Old Town, ME 044681613

    Phone: (207) 827-6128

    Fax: (207) 990-1248

    Type: Location

  • 175 UNION ST STE C

    BANGOR, ME 044016100

    Phone: (207) 478-8645

    Fax: (207) 514-0726

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050628000634IClinical Social WorkerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04468)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325946213View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MATTHEW J NUTT (LCSW)?
MATTHEW J NUTT (LCSW) — NPI 1497856876 — is the standard way to identify this listing.
Is MATTHEW J NUTT (LCSW) still practicing?
MATTHEW J NUTT (LCSW) is currently listed as active in the public NPI registry.
What taxonomy line describes MATTHEW J NUTT (LCSW)?
For research purposes, treat MATTHEW J NUTT (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is MATTHEW J NUTT (LCSW) based?
MATTHEW J NUTT (LCSW) is tied to Old Town, Maine in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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