CONNIE J GIBSON MSSW LICSW
NPI 1386778918
Social Worker in Waconia, MN
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Connie Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waconia, MN 55387
- Reassigned Medicare billing, Minnesota enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 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.
Where is Connie Gibson located?
Connie Gibson practices at 540 E 1st St, Waconia, MN 55387. The listed phone number is (952) 442-4437.
What is Connie Gibson's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Connie Gibson enrolled in Medicare?
Yes. Connie Gibson 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.
Which organization bills Medicare for Connie Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Gibson reassigns Medicare benefits to Carver County (Waconia, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Connie J Gibson, MSSW LICSW · NPI 1386778918
Social Worker provider in Waconia, Minnesota. Individual provider, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1386778918 (Entity type: Individual)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** LICSW4945 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 540 E 1ST ST, Waconia, MN 55387-1600
- **Phone:** (952) 442-4437 · **Fax:** (952) 442-3084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Carver County (NPI 1326049685, Waconia, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** February 19, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1386778918) · Data from the CMS NPPES public registry.