Organization Active NPI

Norman Gibson, LCSW

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1023246501
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0985014 Issued in CO
Legal business name
NORMAN GIBSON, LCSW
Practice address
4865 Riverbend Rd
Suite 101
Boulder, CO 80301-2631
Phone
(303) 444-2072
Fax
(303) 444-2372
NPI assigned
Jun 23, 2009
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. Norman Bruce Gibson, LCSW
Title
Licensed Clinical Social Worker
Phone
(303) 444-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0985014 CO Primary

Addresses

Primary practice location

4865 Riverbend Rd
Suite 101
Boulder, CO 80301-2631

Mailing address

4865 Riverbend Rd
Suite 101
Boulder, CO 80301-2631
Phone (303) 444-2072

National Provider Directory

National Provider Directory

Locations

4865 Riverbend Rd
Ste 101
Boulder, CO 80301
Phone (303) 444-2072

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1023246501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 RIVERBEND RD",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012631",
            "telephone_number": "303-444-2072",
            "fax_number": "303-444-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 RIVERBEND RD",
            "address_2": "SUITE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012631",
            "telephone_number": "303-444-2072",
            "fax_number": "303-444-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN GIBSON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "303-444-2072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "0985014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.