JENIFER JOAN NIBBIO (LCSW) – Professional Counselor, NPI 1467935973

JENIFER JOAN NIBBIO (LCSW) is a healthcare provider. based in Bloomington, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for JENIFER JOAN NIBBIO (LCSW) is 1467935973

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
JENIFER JOAN NIBBIO (LCSW)
NPI
1467935973
Phone
(309) 531-1960
Address
616 IAA DR
Enumeration Date
11 September 2018
Last Update Date
11 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3092616129
Graduation Year
1986 (40 years ago)
PAC ID
3274975206
Group Practice PAC ID
1951740901
Professional Enrollment ID
I20240522003073
Address ID
IL617012225BL616XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for JENIFER JOAN NIBBIO (LCSW)

  • 616, IAA Drive, Country Financial and IAA, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617012225

    Phone: (309) 531-1960

    Fax: (309) 808-0617

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240522003073IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951740901View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Can I verify JENIFER JOAN NIBBIO (LCSW) with an NPI only?
You can start verification with NPI 1467935973 for JENIFER JOAN NIBBIO (LCSW), then check state licensing separately.
Does CMS list JENIFER JOAN NIBBIO (LCSW) as active?
Yes — JENIFER JOAN NIBBIO (LCSW) is active in the NPI listing used on this page.
What is JENIFER JOAN NIBBIO (LCSW) best known for clinically?
Directory data describes JENIFER JOAN NIBBIO (LCSW) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect JENIFER JOAN NIBBIO (LCSW) on a map?
Expect Bloomington, Illinois as a primary anchor for JENIFER JOAN NIBBIO (LCSW) unless the record lists multiple sites.
Why does JENIFER JOAN NIBBIO (LCSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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