Laura Elizabeth McKibbin, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

13543 Issued in MN

Practice address

1880 Austin Rd
Suite 2 Mental Health Professionals
Owatonna, MN 55060-4402

Phone

(507) 446-8123

Fax

(507) 446-0600

NPI assigned

Aug 25, 2006

Last updated

Sep 25, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Professionals Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owatonna, MN
  • NPI 1477516250
  NPD (past)
• Mercy Health Services-Iowa Corp

  dba MercyOne Northwood Pharmacy

  • Community/Retail Pharmacy
  • Northwood, IA
  • NPI 1316909484
  NPD (past)
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Behavioral Services Center

  • Cognitive & Behavioral Psychologist
  • Mason City, IA
  • NPI 1730197492
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1457468274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD",
            "address_2": "SUITE 2 MENTAL HEALTH PROFESSIONALS",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604402",
            "telephone_number": "507-446-8123",
            "fax_number": "507-446-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD",
            "address_2": "SUITE 2 MENTAL HEALTH PROFESSIONALS",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604402",
            "telephone_number": "507-446-8123",
            "fax_number": "507-446-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBIN",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "13543",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PROVI",
            "identifier": "I1488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "51940",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Foundation for Medical Education & Research (Mayo Clinic Store - Owatonna)
• Julia McCabe, MS, CCC-SLP
• McGregor Chiropractic PC
• Nicholas James McGregor, D.C.
• Kathryn N McKenzie, MD
• Melissa McLaurin
• Kristin McMahon
• MCR, Iris Park Chiropractic
• Megan Anthony PLLC
• Karla Jean Melchert, PT

• Social Worker in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.