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SHONDA TIBBS LCSW
NPI 1164890075
Social Worker - Clinical in Bowling Green, KY

Active since September 09, 2015PECOS EnrolledAccepts Medicare Assignment
481 NORRIS RD, BOWLING GREEN, KY 42101(270) 792-0262 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, May 19, 2021, Apr 1, 2020 and 1 more (4 updates tracked since 2018).

About Shonda Tibbs Lcsw NPPES

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

SHONDA TIBBS LCSW (NPI 1164890075) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (253280) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164890075
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHONDA TIBBSCredential: LCSW
Location Address481 NORRIS RDBowling Green, KY 42101-8024
Mailing Address481 Norris RdBowling Green, KY 42101-8024 · (270) 792-0262 · Fax (270) 904-5110
Phone(270) 792-0262
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 9, 2015
Last NPPES UpdateNovember 8, 20214 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1164890075 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
Licenses✔ Licensed in KY · 253280✔ Licensed in KY · 7329
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 7329 (KY)
481 NORRIS RD, Bowling Green, KY 42101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shonda Tibbs Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587889951
PECOS Enrollment IDI20180611002858
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shonda Tibbs's NPI number?

The NPI number for Shonda Tibbs is 1164890075. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Shonda Tibbs located?

Shonda Tibbs practices at 481 Norris Rd, Bowling Green, KY 42101. The listed phone number is (270) 792-0262.

What is Shonda Tibbs's specialty?

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

Is Shonda Tibbs enrolled in Medicare?

Yes. Shonda Tibbs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shonda Tibbs was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.