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JONATHAN TIBBO
NPI 1053036079
Case Manager/Care Coordinator in Boston, MA

Active since October 12, 2022

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Tibbo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN TIBBO (NPI 1053036079) is an individual case manager/care coordinator provider in Boston, Massachusetts and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1053036079
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJONATHAN TIBBO
Location Address66 CANAL STBoston, MA 02114-2002
Mailing Address66 Canal StBoston, MA 02114-2002 · (617) 619-5939
Phone(617) 619-5939
Sole ProprietorNo
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1053036079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
66 CANAL ST, Boston, MA 02114
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK MCMAHON
Counselor (Addiction (Substance Use Disorder))
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 391-9488
EMILY LYNN WARD MS
Speech-Language Pathologist
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 371-3000
KASHINA CAMERON
Counselor (Mental Health)
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 371-3000
EMILY GERMAIN LCSW
Social Worker (Clinical)
66 CANAL ST, 4TH FLR
BOSTON, MA 02114
Suffolk County (617) 619-5936
THERESA M DIPIETRO
Counselor
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 619-6964
MS. SHELLEY SUE SLATUS L.I.C.S.W.
Social Worker (Clinical)
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 371-3040
ELIZABETH MARY MCGOWAN
Case Manager/Care Coordinator
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 619-5945
HYUNWOOK STEPHEN SEO
Social Worker (Clinical)
66 CANAL ST
BOSTON, MA 02114
Suffolk County (617) 371-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Tibbo's NPI number?

The NPI number for Jonathan Tibbo is 1053036079. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Jonathan Tibbo located?

Jonathan Tibbo practices at 66 Canal St, Boston, MA 02114. The listed phone number is (617) 619-5939.

What is Jonathan Tibbo's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Tibbo was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.