Active NPI
Asia Gibbs, LSW
- Social Worker
- Perrysburg, OH
National Provider Identifier
1043948565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2309711
- Practice address
- 28555 Starbright Blvd
Perrysburg, OH 43551-5662 - Phone
- (567) 312-4722
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2309711 | OH | Primary |
Addresses
Primary practice location
28555 Starbright Blvd
Perrysburg, OH 43551-5662
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2615030 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2309711 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RFS Charitable Foundation | Past | Accepting new patients | |
| Unison Behavioral Health Group, Inc. | Past | Accepting new patients | |
| Unison Behavioral Health Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- asia.gibbs.p1@direct.iamboundless.nextgenshare.com
- https://api.qualifacts.org/api/fhir/rfstackle/r4/
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1093118580
-
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
- NPI 1306105382
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1952370561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1043948565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E DUBLIN GRANVILLE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853192",
"telephone_number": "614-844-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28555 STARBRIGHT BLVD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515662",
"telephone_number": "567-312-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ASIA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2309711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2615030",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.