Susan Gibbs, LCSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005255 Issued in CT

Practice address

92 Vine St
New Britain, CT 06052-1433

Phone

(860) 229-4830

Fax

(860) 826-8701

NPI assigned

Feb 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Susie Gibbs Professional name

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": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298764800000",
    "number": "1134426109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WHITING ST",
            "address_2": "UNIT B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513184",
            "telephone_number": "860-229-4830",
            "fax_number": "860-826-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 VINE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521433",
            "telephone_number": "860-229-4830",
            "fax_number": "860-826-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "GIBBS",
            "prefix": "MS.",
            "credential": "LCSW, LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael G. Genovesi, M.D.
• Frank J Gerratana, M.D.
• Ariel Shira Gershon
• Joseph Giannattasio, DC
• Nicole Giannotto
• Genesis L Gil
• Shalamiesha I Gilbert, LCSW
• Brianna Gillette
• Larissa Marie Giordano
• Perla Girardo, LPC

• Clinical Social Worker in New Britain, CT
• Providers in New Britain, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.