Active NPI
Rebecca Gibson
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1073306122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19461
- Practice address
- 124 N Court St
Frederick, MD 21701-6614 - Phone
- (301) 304-7108
- NPI assigned
- May 22, 2025
- Last updated
- May 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19461 | MD | Primary |
Addresses
Primary practice location
124 N Court St
Frederick, MD 21701-6614
Mailing address
819 Trail Ave
Frederick, MD 21701-4522
Phone (443) 791-0987
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 |
|---|---|---|---|
| 19461 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1073306122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 TRAIL AVE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014522",
"telephone_number": "443-791-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N COURT ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016614",
"telephone_number": "301-304-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Timothy Allen Gibian, PSYD
- Alida Danielle Gibson, LGPC
- James Robert Gibson III
- Joshua Gibson, APRN-CNS
- Michael P Gibson, D.C.
- Rebecca Gibson, LCSW-C
- Jennifer Giegel
- Giffi Medical Associates, LLC (Ultimate Wellness)
- Jason Thomas Giffi, D.O.
- Gilbart Dental Care of Frederick LLC (Gilbart Dental Care of Frederick)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.