Individual ProviderMary Kiener-GibsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5665 Hoover Rd, Grove City, OH 43123-9122(614) 539-6429(614) 783-6799PECOS EnrollmentBased on the most recent information from CMS, provider Mary Kiener-Gibson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1063928778Provider TypeIndividualFull NameKiener-Gibson, MaryCredentialLSWGenderFemaleSole ProprietorNoEnumeration Date12/18/2017Last Updated2/17/2021Contact InformationPractice LocationPractice Address5665 Hoover Rd, Grove City, OH 43123-9122Phone(614) 539-6429FaxUnlisted FaxMailing LocationMailing Address4653 E Main St, Whitehall, OH 43213-3298Phone(614) 783-6799FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer