Angela J Gibson, M.A., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1799 Issued in FL

Practice address

10225 Ulmerton Rd
Suite 8-B
Largo, FL 33771-3538

Phone

(727) 586-0636

Fax

(727) 585-6287

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angela Gibson, LCSW Counseling and Psychotherapy LLC

  • Clinical Social Worker
  • Largo, FL
  • NPI 1003743659
  NPD Authorized official
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Sarasota, FL
  • NPI 1033984448
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013089531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "SUITE 8-B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-586-0636",
            "fax_number": "727-585-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "SUITE 8-B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-586-0636",
            "fax_number": "727-585-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "M.A., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Gianfilippo, SLP
• Alicia R Gianfrancesco
• Olivia Gibbons
• Margaret Virginia Gibbs, LCSW
• Yarbra Gibbs
• Geoffrey James Gibson, D.O.
• Nancy M. Gilhooley, M.D.
• Eric Allen Gillard, HS3
• Theodore N Gillette, O.D.
• Makaisha Gillins

• Clinical Social Worker in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.