Beverly M Gibson, LCADC, CSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

44SW00330700 Issued in NJ

Practice address

68 Dunmore Avneue
Ewing, NJ 08618

Phone

(609) 577-9714

Fax

(608) 671-1500

NPI assigned

Jul 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1245543453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DUNMORE AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181974",
            "telephone_number": "609-577-9714",
            "fax_number": "609-671-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DUNMORE AVNEUE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "08618",
            "telephone_number": "609-577-9714",
            "fax_number": "608-671-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BEVERLY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCADC, CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SW00330700",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00032400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSW",
            "identifier": "44SW00330700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCADC, CSW",
            "identifier": "37LC00032400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Gekowski, MD
• Mary George, MA,LCADC
• Devon M Gerber, LAC
• Donna Gergasko
• Jacqueline Gettys, M.D.
• Cassandra Crawford Gibson, PHD, LCSW, LCADC
• Jostina Gichana, APN
• Dayna Giel, MSED, LPC
• Kaiulani Giles
• Mary Susan Gill

• Counselor in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.