MS. KIM KIBBEY (LSW) – Clinical Social Worker, NPI 1851459671

MS. KIM KIBBEY (LSW) is a healthcare provider. based in Warren, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. CW016459 (PA). The NPI Number for MS. KIM KIBBEY (LSW) is 1851459671

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIM KIBBEY (LSW)
NPI
1851459671
Phone
(814) 230-9111
Address
1048 PENNSYLVANIA AVE W
Enumeration Date
5 December 2006
Last Update Date
22 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142309111101
Graduation Year
2002 (24 years ago)
PAC ID
0840327755
Group Practice PAC ID
9739429994
Professional Enrollment ID
I20100426000291
Address ID
PA163651838WA1048XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

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Provider Addresses for MS. KIM KIBBEY (LSW)

  • 1048, Pennsylvania Avenue West, Warren, Warren County, Pennsylvania, 16365, United States

    WARREN, PA 163651838

    Phone: (814) 230-9111

    Fax: (814) 313-1075

    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: 2010-04-26

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
I20100426000291IClinical Social WorkerPATBD

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 16365)

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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: 9739429994View full group profile
NameSpecialtyState
-PA
Nurse PractitionerPA
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What is the standard ID for MS. KIM KIBBEY (LSW) in the U.S.?
In the U.S., MS. KIM KIBBEY (LSW) is identified by NPI 1851459671.
Does the public listing show MS. KIM KIBBEY (LSW) as active?
MS. KIM KIBBEY (LSW)'s NPI record reflects an active status in NPPES.
How should patients interpret MS. KIM KIBBEY (LSW)'s specialty?
The extract shows Clinical Social Worker for MS. KIM KIBBEY (LSW). Clinical services aligned with this taxonomy classification.
What city is tied to MS. KIM KIBBEY (LSW)?
The directory associates MS. KIM KIBBEY (LSW) with Warren, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for MS. KIM KIBBEY (LSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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