Individual ProviderMary Kiener-GibsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5665 Hoover Rd, Grove City, OH 43123-9122(614) 539-6429(614) 783-6799PECOS EnrollmentBased on the most recent information from CMS, provider Mary Kiener-Gibson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1063928778Provider TypeIndividualFull NameKiener-Gibson, MaryCredentialLSWGenderFemaleSole ProprietorNoEnumeration Date12/18/2017Last Updated2/17/2021Contact InformationPractice LocationPractice Address5665 Hoover Rd, Grove City, OH 43123-9122Phone(614) 539-6429FaxUnlisted FaxMailing LocationMailing Address4653 E Main St, Whitehall, OH 43213-3298Phone(614) 783-6799FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer