Connie J Gibson (NPI# 1386778918, PAC ID# 8921272600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1386778918 |
| PAC ID by PECOS | 8921272600 |
| Professional Enrollment ID | I20111115000106 |
| Full Name | Connie J Gibson |
| Organization Legal Name | CARVER COUNTY |
| Address |
540 E 1st St Waconia MN 55387-1601 |
| Phone Number | 9524424437 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8527041961 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 540 E 1st St, Waconia, MN 55387-1601 | 9524424437 | CARVER COUNTY |
| Organization Legal Name | CARVER COUNTY |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Purtle | Psychologist, Clinical | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Scott A Winker | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Jason G Thymian | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Kathryn E Vele | Nurse Practitioner | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Patricia E Blumenreich | Psychiatry | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| David L Sudduth | Psychiatry | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Kesha S Green | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Mary E Volgman | Psychologist, Clinical | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Jenny Withrow | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Sharon Letizio | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Street Address |
540 E 1ST ST |
| City | WACONIA |
| State | MN |
| Zip | 55387-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Purtle | Psychologist, Clinical | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Scott A Winker | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Jason G Thymian | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Kathryn E Vele | Nurse Practitioner | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Patricia E Blumenreich | Psychiatry | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| David L Sudduth | Psychiatry | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Kesha S Green | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Mary E Volgman | Psychologist, Clinical | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Jenny Withrow | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Sharon Letizio | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Neubauer | Chiropractic | Neubauer Chiropractic Health Center Pa | 20 W Main St, Waconia, MN 55387-1020 |
| Ashley Tolvstad | Chiropractic | Neubauer Chiropractic Health Center Pa | 20 W Main St, Waconia, MN 55387-1020 |
| Matthew D Neubauer | Chiropractic | Neubauer Chiropractic Health Center Pa | 20 W Main St, Waconia, MN 55387-1020 |
| Robin L Petrich | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 875 E Main St, Waconia, MN 55387-1081 |
| Leah M Soltis | Chiropractic | Soltis Family Chiropractic | 32 E Main St, Waconia, MN 55387-1113 |
| Jeffrey L Soltis | Chiropractic | Soltis Family Chiropractic | 32 E Main St, Waconia, MN 55387-1113 |
| Cale A Berry | Chiropractic | 137 W 1st St, Waconia, MN 55387-1190 | |
| John Schneider | Clinical Social Worker | Cedar House Inc | 201 W 1st St, Waconia, MN 55387-1302 |
| Heather A Tuttle | Optometry | 753 Marketplace Dr, Waconia, MN 55387-1549 | |
| Michael Raguet | Clinical Social Worker | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Find all physicians in zip 55387 | |||
| City | WACONIA |
| Zip Code | 55387 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WACONIA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Connie J Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.