Thomas Richard Bibber
Individual provider Active NPI Clinical Social Worker · Rock Springs, WY
NPI 1730447152 · NPPES record last updated Oct 9, 2015
Key facts
- NPI
- 1730447152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-956 (WY)
- Practice address
- 2300 Foothill Blvd
Rock Springs, WY 82901-5610 - Phone
- (307) 352-6677
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Southwest Counseling Service
Practice addresses (Care Compare)
1124 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-6677
2300 Foothill Blvd
Rock Springs, WY 82901-5610
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621001227 | WY | Practitioner - Clinical Social Worker | 7911440722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-956 | WY | MD | Clinical Social Worker |
| PCSW-554 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Counseling Service | Current |
Accepting new patients | |
| Southwest Counseling Service | Current |
Accepting new patients |
Locations
2300 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 352-6689
1124 College Dr
Rock Springs, WY 82901
Phone (307) 352-6680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PCSW-554 | WY | |
| Clinical Social Worker | 1041C0700X | LCSW-956 | WY | Yes |
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
Other providers in Rock Springs, WY
- Robert Bentley
- Geannie Berg
- Justin Michael Berg
- Emma Best
- Better Solutions Counseling Center, Inc.
- Jaden Rochelle Bingham
- Joshua Thomas Binks
- Bitter Creek Inpatient Services LLC
- Ragnvaldr Buck Bjornsson
- Breanna Blackburn
All providers in Rock Springs, WY · Clinical Social Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.