Marycaroline Gibson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014679 Issued in NC

Practice address

18047 W Catawba Ave Ste 203
Cornelius, NC 28031-5688

Phone

(704) 662-2706

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1093325904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18047 W CATAWBA AVE STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315688",
            "telephone_number": "704-662-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18047 W CATAWBA AVE STE 203",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315688",
            "telephone_number": "704-662-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARYCAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Katherine Garcia, BSW, MSW, LCAS-A
• Daniela Estefania Garrett, MA, LCMHC-A, NCC
• Lindsay Gebel, MA, LCMHCA, NCC
• Christine A Gepfert, LMBT, RYT, PMA
• Samantha Haley Giardina, LCMHCA
• Josette Marie Giuffrida, DNP, FNP-C
• Sofia Gkoulgkountina, DO
• Jouli Gobrial
• James B Godley Jr., D.D.S.
• Goins Home Care, LLC

• Clinical Social Worker in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.