CONNIE J GIBSON (NPI# 1386778918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386778918 |
| Entity Type | Individual |
| Full Name | CONNIE J GIBSON |
| Other Name | CONNIE HECKENLAIBLE |
| Credential | MSSW LICSW |
| Practice Address |
540 E 1st St Waconia MN 55387-1600 |
| Practice Telephone | 9524424437 |
| Practice Fax Number | 9524423084 |
| Mailing Telephone | 9524424437 |
| Mailing Fax Number | 9524423084 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LICSW4945 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241350 | Connie Ann Gibson | Counselor | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2020-03-25 |
| 1144650425 | Connie Gibson | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2013-11-22 |
| 1003180340 | Connie Francis Gibson | Psychologist | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2012-03-05 |
| 1013223635 | Connie Gibson | Pharmacist | 10919 Louetta Rd, Houston, TX 77070-1710 | 2010-08-19 |
| Street Address |
540 E 1ST ST |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887379 | Anna Skytta-gurkanlar | Psychologist | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-09 |
| 1427671056 | Charlie Yanisch | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2020-05-18 |
| 1487285920 | Suzan Muhanna | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2020-02-03 |
| 1023657863 | Sarah Manthei | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2019-12-26 |
| 1295384188 | Jamie Meyer | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-09-04 |
| 1063079762 | Charell Dutton | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-05-29 |
| 1598223893 | Josie Hoffman | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2019-03-05 |
| 1255834586 | Jonathan Cory Braverman | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2018-03-13 |
| 1437650447 | Elizabeth Smith Noonan | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-25 |
| 1467952986 | Alyson Montplaisir | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639588437 | Kay A Kinkel | Social Worker | 800 Waconia Pkwy N, Waconia, MN 55387-9241 | 2014-08-05 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| 1932125861 | Melissa Beth Hanson | Social Worker | 540 East First Street, Waconia, MN 55387-1601 | 2006-07-14 |
| 1083611701 | Mary K. Jordan | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2005-07-07 |
| 1316949845 | Birdie Margaret Martinka-breiner | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1780686204 | Cheryl Victoria Paulaha | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1407858921 | Scott Allen Winker | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1295737716 | Patricia Mullin Ahrens | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-15 |
| 1972504041 | Sharon Lisa Letizio | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-10 |
| 1891796918 | Melanie Jane Warm | Social Worker | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-10 |
| Find all providers in WACONIA | ||||
Please comment or provide details below to improve the information on CONNIE J GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.