Active NPI
Malorie Nicole Gibson, LMSW
- Clinical Social Worker
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Associates of Maryland LLC | Social Worker | Current | Accepting new patients |
| Psychogeriatric Services LLC | Clinical | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | 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.
-
dba Bloom Health Centers
- Psychologist
- Timonium, MD
- NPI 1891721981
Social Worker
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.