Katie Leigh Gibbs-Polkinghorne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0012639 Issued in DE

Practice address

222 S Dupont Hwy Ste 102
Dover, DE 19901-3778

Phone

(302) 313-1072

NPI assigned

Jan 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Gibbs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willow Counseling Services

  • Clinical Social Worker
  • Smyrna, DE
  • NPI 1942866082
  NPD (past)

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1144031139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S DUPONT HWY STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013778",
            "telephone_number": "302-313-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S DUPONT HWY STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013778",
            "telephone_number": "302-313-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Sleepy Hollow Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095841",
            "country_code": "US",
            "telephone_number": "302-313-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS-POLKINGHORNE",
        "first_name": "KATIE",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GIBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohamad Ayman Ghraowi, MD
• Gi Associates of Delaware PA
• Gi Consultants,LLC
• Laverne Liza Giaccone, BSN MA NCSN
• Margarita Gianniosis
• Stacion Renee Gibbs, FNP-C
• Gifted Companion Home Care
• Jake David Gilardi, DMD
• Christopher Giles, M.D.
• Erica Giles, PNP

• Clinical Social Worker in Dover, DE
• Providers in Dover, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.