CONNIE J GIBSON MSSW LICSW
NPI 1386778918
Social Worker in Waconia, MN

Q: What is Connie Gibson's NPI number?

The NPI number for Connie Gibson is 1386778918. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Connie Heckenlaible.

Q: What is Connie Gibson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Connie Gibson was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 15, 2007PECOS EnrolledAccepts Medicare Assignment

540 E 1ST ST, WACONIA, MN 55387(952) 442-4437(952) 442-3084 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Connie J Gibson Mssw Licsw NPPES

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

CONNIE J GIBSON MSSW LICSW (NPI 1386778918) is an individual social worker in Waconia, Minnesota, licensed in Minnesota (LICSW4945) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1386778918

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameCONNIE J GIBSONCredential: MSSW LICSW

Location Address540 E 1ST STWaconia, MN 55387-1600

Mailing Address540 E 1st StWaconia, MN 55387-1600 · (952) 442-4437 · Fax (952) 442-3084

Phone(952) 442-4437

Fax(952) 442-3084

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateMarch 15, 2007

Last NPPES UpdateFebruary 19, 2014

✔ NPI 1386778918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MN · LICSW4945

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

540 E 1ST ST, Waconia, MN 55387

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Other Names 1

Other Name (5)Connie Heckenlaible

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

Connie J Gibson Mssw Licsw 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 ID8921272600

PECOS Enrollment IDI20111115000106

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.

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.

TRACY M DAVIS LMFT

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