Georgia D. Gibson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9106 Issued in SC

Practice address

112 Hickory Hill TRL
Elgin, SC 29045-9394

Phone

(803) 331-9017

Fax

(803) 788-7421

NPI assigned

Mar 22, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003932732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAGNOLIA ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504943",
            "telephone_number": "803-775-9364",
            "fax_number": "803-773-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HICKORY HILL TRL",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459394",
            "telephone_number": "803-331-9017",
            "fax_number": "803-788-7421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2611 Liberty Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290201871",
            "country_code": "US",
            "telephone_number": "803-432-5323",
            "fax_number": "803-713-3978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GEORGIA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuesday Lynn Fuentes
• Fiona Natalie Gbehan
• Generational Healing and Wellness Therapy and Consulting (GHW Therapy)
• Generations Rehabilitation Services, LLP
• Tammy Jo Getchell, COTA
• Glammed Studio
• Gloria Williams FNP LLC
• Andre Goodman, LPC-A
• Dennis W Goodwin, BCBA
• Monica Patrice Goodwin, DPT

• Clinical Social Worker in Elgin, SC
• Providers in Elgin, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.