Individual provider Active NPI

Malorie Nicole Gibson, LMSW

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1316542855
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
120 Sister Pierre Dr Ste 403
Towson, MD 21204-7536
Phone
(410) 823-6408
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 23013 MD
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

120 Sister Pierre Dr Ste 403
Towson, MD 21204-7536

Mailing address

24608 Ridge Rd
Damascus, MD 20872-2132
Phone (240) 604-7515

Other practice location 1

120 Sister Pierre Dr Ste 403
Towson, MD 21204-7536
Phone (410) 823-6408

Other practice location 2

604 S Frederick Ave Ste 211
Gaithersburg, MD 20877-1282
Phone (410) 816-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC Social Worker CurrentSince Dec 6, 2020 Accepting new patients
Psychogeriatric Services LLC Clinical CurrentSince Nov 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 27, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

604 S Frederick Ave
Ste 211
Gaithersburg, MD 20877
Phone (301) 330-6470

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1316542855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24608 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722132",
            "telephone_number": "240-604-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 403",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "410-823-6408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Sister Pierre Dr Ste 403",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047536",
            "country_code": "US",
            "telephone_number": "410-823-6408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 S Frederick Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208771282",
            "country_code": "US",
            "telephone_number": "410-816-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MALORIE",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MD",
            "license": "23013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.