Active NPI
Barbara Ann Gibbs, LCSW
- Clinical Social Worker
- Peru, IN
National Provider Identifier
1346824729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006615A
- Practice address
- 2484 S Business 31 Ste C
Peru, IN 46970-7325 - Phone
- (765) 472-2722
- Fax
- (765) 472-2722
- NPI assigned
- May 11, 2021
- Last updated
- May 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006615A | IN | Primary |
Addresses
Primary practice location
2484 S Business 31 Ste C
Peru, IN 46970-7325
Mailing address
2484 S Business 31 Ste C
Peru, IN 46970-7325
Phone (765) 472-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2484 S Business
31 Suite D
Peru, IN 46970-7325
Phone (765) 472-2722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Pathways LLC | Clinical | Current | Accepting new patients |
Locations
2484 S Business 31
Ste D
Peru, IN 46970
Phone (765) 472-2722
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1346824729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2484 S BUSINESS 31 STE C",
"city": "PERU",
"state": "IN",
"postal_code": "469707325",
"telephone_number": "765-472-2722",
"fax_number": "765-472-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2484 S BUSINESS 31 STE C",
"city": "PERU",
"state": "IN",
"postal_code": "469707325",
"telephone_number": "765-472-2722",
"fax_number": "765-472-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "BARBARA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006615A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.