Shonda Tibbs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253280 Issued in KY

Practice address

481 Norris Rd
Bowling Green, KY 42101-8024

Phone

(270) 792-0262

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• LHC, LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1033922851
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1164890075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 NORRIS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421018024",
            "telephone_number": "270-792-0262",
            "fax_number": "270-904-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 NORRIS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421018024",
            "telephone_number": "270-792-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Ashley St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42103",
            "country_code": "US",
            "telephone_number": "270-904-6567",
            "fax_number": "270-904-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 High St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012541",
            "country_code": "US",
            "telephone_number": "270-782-1116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Louisville Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011202",
            "country_code": "US",
            "telephone_number": "270-904-0055",
            "fax_number": "270-904-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "SHONDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7329",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253280",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thornquist, RD, LDN
• Olivia Ann Thoroughman
• Hayley D. Thorpe, OTR
• Thriveworks Kentucky - Clinical
• Hannah Tibbs, LCSW
• Abby J Tichenor, RBT
• Tim Long M.D., PSC
• Timesavers Ky LLC
• Adrienne Lynn Brown Tinch, APRN
• Kantapak Tintukasiri, APRN

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.