Kathryn McGibbon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008734 Issued in CT

Practice address

54 Buell St
North Haven, CT 06473-4311

Phone

(870) 355-1301

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kathryn L. McGibbon, LCSW, LLC

  • Clinical Social Worker
  • North Haven, CT
  • NPI 1740648286
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1033514112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BUELL ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734311",
            "telephone_number": "870-355-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BUELL ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064734311",
            "telephone_number": "870-355-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIBBON",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Mattie, DDS
• Tierney Rose Maturo, PHARMD, RPH
• Ralph Laudano Mauriello, P.T.
• MB Home Care LLC
• Terence McCarthy, LADC, LMSW
• Caitlin McGinnis
• Margaret Josephine McGovern, LPC, ATR-BC
• Stephanie Ann McGrath, LMSW
• Elizabeth Jeanne McKinnell, APRN, NP-C
• Morgan McMullin, PA

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.