Kenneth M Bibalo
Social Worker, Clinical in Niantic, Connecticut
1922955780- Practice location
- 93 Oakwood RD, Niantic, CT 06357-2038
- Phone
- 860-389-5148
- Fax
- —
- Last updated
- March 11, 2026
Kenneth Michael Bibalo is a Social Worker, Clinical based in Niantic, CT. Kenneth Michael Bibalo practices in Niantic, CT. The NPI Number for Kenneth Michael Bibalo is 1922955780 and holds a License No. 16345 (CT). The current practice location address for Kenneth Michael Bibalo is 93 Oakwood RD, Niantic, CT 06357-2038 and can be reached out via phone at 860-389-5148.
Provider Profile Details
- NPI Number
- 1922955780
- Provider Name
- Kenneth Michael Bibalo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 93 Oakwood RD, Niantic, CT 06357-2038
- Phone Number
- 860-389-5148
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 11, 2026
- Last Update Date
- March 11, 2026
- Certification Date
- March 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 93 Oakwood RD
Niantic, CT 06357-2038 - City
- Niantic
- State
- Connecticut
- Zip
- 06357-2038
- Phone Number
- 860-389-5148
Provider Business Mailing Address Details
- Address
- 93 Oakwood RD
Niantic, CT 06357-2038 - City
- Niantic
- State
- CT
- Zip
- 06357-2038
License Information
- License Number
- 16345
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kenneth M Bibalo?
The NPI number of Kenneth M Bibalo is 1922955780. It was assigned on March 11, 2026 and is currently active in the NPPES registry.
What is the specialty of Kenneth M Bibalo?
Kenneth M Bibalo is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 16345.
Where does Kenneth M Bibalo practice?
The practice location is 93 Oakwood RD, Niantic, CT 06357-2038. The office can be reached at 860-389-5148 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922955780 directly on the NPPES registry website.