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

Shonda Tibbs, LCSW

Individual provider Clinical Social Worker · NPI 1164890075

Shonda Tibbs, LCSW is a Clinical Social Worker in Bowling Green, Kentucky. Qualified in 2015, 11 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015
Specialties on file
3
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

481 Norris Rd
Bowling Green, KY 42101-8024
Phone: (270) 792-0262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1215 High St, Bowling Green, KY 42101-2541 — (270) 782-1116
  • 1990 Louisville Rd Ste 107, Bowling Green, KY 42101-1202 — (270) 904-0055
  • 1048 Ashley St, Bowling Green, KY 42103 — (270) 904-6567

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 253280 (KY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 7329 (KY)
Social Worker Taxonomy 104100000X · Licence 7329 (KY)

Record details

NPI number1164890075
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2015
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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