Look up the most recent NPI and PECOS records

Jennifer Hibbard

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Hibbard does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1972026482
Provider Type
Individual
Full Name
Hibbard, Jennifer
Credential
LLMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/18/2017
Last Updated
6/27/2024

Contact Information

Practice Location

3285 122nd Ave, Allegan, MI 49010-9511

(269) 257-1062

Unlisted Fax

Mailing Location

540 Jenner Dr, Allegan, MI 49010-1517

(269) 257-1062

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 6851115290 Michigan
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 6851115290	Description Medicaid	Issuer Unlisted Michigan

Jennifer Hibbard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sparks, Kenneth John

Thomas, Kimberly

Dortch, Aaron James

Case, Kimberly Ann

Green, David M

Redman, Charles B

Thomas, Joshua David

Peelle, Judith Anne

Plummer, Sarah

Weld, Larissa