Active NPI
Michael G Gipson, LMSW
- Social Worker
- Hagerstown, MD
National Provider Identifier
1174236202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 29492
- Practice address
- 18714 N Village
Hagerstown, MD 21742-2454 - Phone
- (301) 722-0331
- NPI assigned
- Jan 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 29492 | MD | Primary |
Addresses
Primary practice location
18714 N Village
Hagerstown, MD 21742-2454
Mailing address
140 Peter Rabbit Dr
Ranson, WV 25438-4862
Phone (301) 712-8838
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29492 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1174236202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 PETER RABBIT DR",
"city": "RANSON",
"state": "WV",
"postal_code": "254384862",
"telephone_number": "301-712-8838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18714 N VILLAGE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422454",
"telephone_number": "301-722-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "MICHAEL",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "29492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.