Individual provider · Type 1 NPI
Kenneth Michael Bibalo
Clinical Social Worker · Niantic, CT
Practice location
93 Oakwood Rd
Niantic, CT 06357-2038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 16345 (CT) |
Clinical Social Worker: 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 interpers…
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About NPI 1922955780
Kenneth Michael Bibalo's National Provider Identifier is 1922955780, issued on Mar 11, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niantic, CT. The record was last updated on Mar 11, 2026.