MINA BIBEAULT (NPI# 1225412828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225412828 |
| Entity Type | Individual |
| Full Name | MINA BIBEAULT |
| Credential | LCSW |
| Practice Address |
75 Holly Hill Ln Ste 100 Greenwich CT 06830-2917 |
| Mailing Address |
8 Byram Terrace Dr Greenwich CT 06831-5126 |
| Practice Telephone | 2038579495 |
| Mailing Telephone | 2038579495 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009002 | CT | Behavioral Health & Social Service Providers |
| Street Address |
75 HOLLY HILL LN STE 100 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669612925 | Antigone D. Kostas | Psychiatry & Neurology | 75 Holly Hill Ln Ste 100, Greenwich, CT 06830-2917 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211401 | Courtney Carey | Social Worker | 15 Valley Dr Ste 1, Greenwich, CT 06831-5205 | 2019-12-01 |
| 1003459801 | Kristie Calvillo | Social Worker | 55 Old Post Rd No 2 Ste 2c, Greenwich, CT 06830-6200 | 2019-10-24 |
| 1548822299 | Cristina Young | Social Worker | 45 E Putnam Ave Ste 102, Greenwich, CT 06830-5428 | 2019-07-02 |
| 1639648793 | Dale Hoffman | Social Worker | 67 Mason St, Greenwich, CT 06830-3104 | 2018-11-19 |
| 1215427141 | Cynthia Manson | Social Worker | 25 Lewis St Ste 201, Greenwich, CT 06830-5537 | 2018-05-16 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1114302627 | Tina M Corlett | Social Worker | 112 Mason St, Greenwich, CT 06830-6629 | 2015-07-26 |
| 1417338906 | Emily Atwell | Social Worker | 34 E Putnam Ave Ste 121, Greenwich, CT 06830-5442 | 2015-06-10 |
| 1730568312 | Karyn Lawrence-vivier | Social Worker | 14 Brook Crossway, Greenwich, CT 06831-4102 | 2015-05-28 |
| 1841556719 | Joann Steiner Bronfman | Social Worker | 37 N Porchuck Rd, Greenwich, CT 06831-2633 | 2012-04-05 |
| Find all providers in GREENWICH | ||||
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| 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.