Individual provider Active NPI

Thomas Richard Bibber

  • Clinical Social Worker
  • Rock Springs, WY
National Provider Identifier
1730447152
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-956 Issued in WY
Practice address
2300 Foothill Blvd
Rock Springs, WY 82901-5610
Phone
(307) 352-6677
NPI assigned
Apr 24, 2012
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PCSW-554 WY
Clinical Social Worker 1041C0700X LCSW-956 WY Primary

Addresses

Primary practice location

2300 Foothill Blvd
Rock Springs, WY 82901-5610

Mailing address

2300 Foothill Blvd
Rock Springs, WY 82901-5610
Phone (307) 352-6677

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
I20240621001227 WY Practitioner - Clinical Social Worker 7911440722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Southwest Counseling ServiceGroup PAC ID 5890777437, 7 clinicians

Practice addresses (Care Compare)

1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6677

2300 Foothill Blvd
Rock Springs, WY 82901-5610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-956WYMDClinical Social Worker
PCSW-554WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Counseling Service CurrentSince May 24, 2024 Accepting new patients
Southwest Counseling Service CurrentSince May 24, 2024 Accepting new patients

Locations

1124 College Dr
Rock Springs, WY 82901
Phone (307) 352-6680

2300 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 352-6689

Organizations & group practices 2

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1730447152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FOOTHILL BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015610",
            "telephone_number": "307-352-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FOOTHILL BLVD",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015610",
            "telephone_number": "307-352-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBER",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-554",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.