Active NPI
Amanda Gibson
- Social Worker
- Mount Vernon, OH
National Provider Identifier
1083121974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 213 E Chestnut St
Mount Vernon, OH 43050-3404 - Phone
- (740) 326-9255
- NPI assigned
- Jan 2, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
213 E Chestnut St
Mount Vernon, OH 43050-3404
Mailing address
213 E Chestnut St
Mount Vernon, OH 43050-3404
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1083121974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 E CHESTNUT ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430503404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 E CHESTNUT ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430503404",
"telephone_number": "740-326-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.