Taber Gibbons, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11770890-3501 Issued in UT

Practice address

9494 W Flamingo Rd Ste 101
Las Vegas, NV 89147-5718

Phone

(702) 659-9043

Fax

(801) 877-0864

NPI assigned

Jun 27, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Next Step Therapy LLC

  • Clinical Social Worker
  • St George, UT
  • NPI 1831086966
  NPD Authorized official
• Sela Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Provo, UT
  • NPI 1497183024
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1144671546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50207",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846050207",
            "telephone_number": "702-659-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 W FLAMINGO RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475718",
            "telephone_number": "702-659-9043",
            "fax_number": "801-877-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "393 E Riverside Dr Ste 3A",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847907127",
            "country_code": "US",
            "telephone_number": "435-688-2123",
            "fax_number": "801-877-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "TABER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11770890-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Giarrusso, MD
• Eri Gibb, DO
• Kevin Gibbons
• Mary Elizabeth Gibbons
• Robert Gibbons
• Angelica Gibbs
• Aspyn Jaunnell Gibbs
• Dimonique Gibbs
• Donneen Gibbs, QMHA
• Gerald Lynn Gibbs, APRN

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.