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MS. SALLY SIBBITT LICSW
NPI 1306939947
Social Worker - Clinical in St Louis Park, MN

Active since October 02, 2006PECOS Enrolled
4601 EXCELSIOR BLVD STE 400, ST LOUIS PARK, MN 55416(952) 925-3533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Sally Sibbitt Licsw NPPES

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

MS. SALLY SIBBITT LICSW (NPI 1306939947) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (2542) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1306939947
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SALLY SIBBITTCredential: LICSW
Location Address4601 EXCELSIOR BLVD STE 400St Louis Park, MN 55416-4977
Mailing Address4601 Excelsior Blvd Ste 400St Louis Park, MN 55416-4977 · (952) 925-3533
Phone(952) 925-3533
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306939947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 2542
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.
4601 EXCELSIOR BLVD STE 400, St Louis Park, MN 55416
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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 (PECOS)

Ms. Sally Sibbitt Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517016678
PECOS Enrollment IDI20090519000649
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
293 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 2

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

MS. SUSAN REYNOLDS LICSW
Social Worker (Clinical)
4601 EXCELSIOR BLVD STE 400
ST LOUIS PARK, MN 55416
Hennepin County (952) 925-3533
DR. JADE BENDER RAFFERTY PH.D., LP
Psychologist (Clinical Child & Adolescent)
4601 EXCELSIOR BLVD STE 400
ST LOUIS PARK, MN 55416
Hennepin County (612) 767-9860

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 Sally Sibbitt's NPI number?

The NPI number for Sally Sibbitt is 1306939947. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Sally Sibbitt located?

Sally Sibbitt practices at 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416. The listed phone number is (952) 925-3533.

What is Sally Sibbitt's specialty?

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

Is Sally Sibbitt enrolled in Medicare?

Yes. Sally Sibbitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Sibbitt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.