Individual provider Active NPI

Shawna Hibbler, MSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1316262322
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-659 Issued in WY
Practice address
623 W 20TH St
Cheyenne, WY 82001-3501
Phone
(307) 426-4622
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-659 WY Primary

Addresses

Primary practice location

623 W 20TH St
Cheyenne, WY 82001-3501

Mailing address

623 W 20TH St
Cheyenne, WY 82001-3501
Phone (307) 426-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20240409004385 WY Practitioner - Mental Health Counselor 5496996035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
659WYMDPsychologist
LCSW-659WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Woods Wellness and Counseling Clinical CurrentSince Nov 1, 2024 Accepting new patients

Locations

623 W 20th St
Cheyenne, WY 82001
Phone (307) 222-9651

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1316262322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W 20TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013501",
            "telephone_number": "307-426-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W 20TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013501",
            "telephone_number": "307-426-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBLER",
        "first_name": "SHAWNA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.