KAITLIN G FIBKINS LCSW
NPI 1164006060
Social Worker - Clinical in Medford, NY

Q: What is Kaitlin Fibkins's NPI number?

The NPI number for Kaitlin Fibkins is 1164006060. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Q: What is Kaitlin Fibkins's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Fibkins was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 07, 2021

31 INDUSTRIAL BLVD, MEDFORD, NY 11763(631) 924-4411 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2024, Feb 14, 2022, May 7, 2021 (3 updates tracked since 2021).

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About Kaitlin G Fibkins Lcsw NPPES

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

KAITLIN G FIBKINS LCSW (NPI 1164006060) is an individual clinical provider in Medford, New York, licensed in New York (098111) and active in the NPI registry since May 2021. She maintains a secondary practice location in Riverhead.

NPPES Registry Identity

NPI1164006060

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKAITLIN G FIBKINSCredential: LCSW

Location Address31 INDUSTRIAL BLVDMedford, NY 11763-2220

Mailing Address23 Evergreen AveEast Moriches, NY 11940-1539 · (631) 875-6224

Phone(631) 924-4411

Sole ProprietorNo

Enumeration DateMay 7, 2021

Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1164006060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 098111

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 11210101 (NY)

31 INDUSTRIAL BLVD, Medford, NY 11763

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Secondary Practice Location 1

Location 1901 E Main St Ste 508Riverhead, NY 11901-2680 · Phone (631) 727-6220

Other Identifiers 1

Other11210101NY · New York State

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of South Carolina, Harvard Pilgrim Health Care.Insurance ›

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.

OLUMIDE OYELEYE

Nurse Practitioner (Psychiatric/Mental Health)