Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlin G Fibkins, LCSW

Individual provider Social Worker · NPI 1164006060

Kaitlin G Fibkins, LCSW is a Social Worker in Medford, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

31 Industrial Blvd
Medford, NY 11763-2220
Phone: (631) 924-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 E Main St Ste 508, Riverhead, NY 11901-2680 — (631) 727-6220

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 098111 (NY)
Social Worker Taxonomy 104100000X · Licence 11210101 (NY)

Record details

NPI number1164006060
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

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