Joanna Grace Kibel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

068887 Issued in NY

Practice address

1075 Broadway
Pleasantville, NY 10570-2346

Phone

(914) 804-2425

Fax

(914) 741-4581

NPI assigned

Dec 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 14, 2021 through Jul 14, 2027

Medicare enrollment (NPD)

Not 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.

• Goodwill Industries of Greater New York and Northern New Jersey, Inc

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1801080478
  NPD
• Goodwill Industries of Greater Ny & Northern NJ, Inc

  • Developmentally Disabled Services Day Training Agency
  • Newark, NJ
  • NPI 1700260122
  NPD

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1760079263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TRUESDALE DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202813",
            "telephone_number": "914-502-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BROADWAY",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702346",
            "telephone_number": "914-804-2425",
            "fax_number": "914-741-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBEL",
        "first_name": "JOANNA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katalin Kapoor, P.T.
• Norma Greenberg Katz, NP-P
• Rebecca Birch Kaye, PT
• Kelly Keck, LMHC
• Nada Khalifeh, LMSW
• Corinne Kidder
• Juliann Iona King
• Yolanda King
• Sylvain Kleinhaus, MD
• Irina Klyatis, M.D.

• Clinical Social Worker in Pleasantville, NY
• Providers in Pleasantville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.