Connie J. Gibson, MSSW LICSW
NPI 1386778918ActiveIndividual· Social Worker· Waconia, MN
Social Worker (MSSW LICSW) with Carver County, practicing in Waconia, Minnesota. Medicare paid $6,390 for services to 13 patients in 2024.
Overview
| NPI | 1386778918 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSSW LICSW |
| Sole proprietor | No |
| NPI issued | Mar 15, 2007 |
| Last updated in NPPES | Feb 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LICSW4945 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 136 across 6 procedure codes |
| Paid by Medicare | $6,390 |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Carver CountyWaconia, MN · 9 clinicians
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