| Thomas Richard Bibber, | |
| 
					2300 Foothill Blvd, Rock Springs, WY 82901-5610  | |
| (307) 352-6677 | |
| Not Available | 
| Full Name | Thomas Richard Bibber | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 2300 Foothill Blvd, Rock Springs, Wyoming | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730447152 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PCSW-554 (Wyoming) | Secondary | 
| 1041C0700X | Social Worker - Clinical | LCSW-956 (Wyoming) | Primary | 
| Entity Name | Southwest Counseling Service | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215007083 PECOS PAC ID: 5890777437 Enrollment ID: O20040607000337  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas Richard Bibber, 2300 Foothill Blvd, Rock Springs, WY 82901-5610 Ph: (307) 352-6677  | Thomas Richard Bibber, 2300 Foothill Blvd, Rock Springs, WY 82901-5610 Ph: (307) 352-6677  | 
Deborah Klug,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677  | |
Jamie Elyse Busenbark, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677  | |
Carrie Todd,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 538 Pilot Butte Ave Ste 5, Rock Springs, WY 82901 Phone: 307-228-5950  | |
Jessica Nielson,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6677  | |
Mrs. Lynette Hughes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614  | |
Grace Vigil, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614  | |
Madelyn Malan,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foothill Blvd, Rock Springs, WY 82901 Phone: 307-352-6677 Fax: 307-352-6614  |