Antonice S Bibbs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58471 Issued in TX

Practice address

1711 E Central Texas Expy
Suite 301
Killeen, TX 76541-9166

Phone

(254) 458-2353

Fax

(254) 853-4177

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

Yes

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 TX

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, 2005

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.

• Pnuema Stance Mind Care and Consulting LLC

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1013540228
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1336338599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 301",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419147",
            "telephone_number": "254-458-2353",
            "fax_number": "254-853-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 301",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419166",
            "telephone_number": "254-458-2353",
            "fax_number": "254-853-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBS",
        "first_name": "ANTONICE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087893",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Betts, PA-C
• Preeti Bhakta
• Savan Bhakta, PHARM.D.
• Kayla-Alexis Bias, RBT
• Sophia Ann Bibbs-Jarrett, APRN-CNP
• Dawn Marie Biddulph, FNP
• Sandy M Bidner, MD
• Petra Bierwirth-Polite
• Marina E Bigness
• Donnetta Bills

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.