Lajuan S Gibson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088926 Issued in MI

Practice address

6419 W Cimarron TRL
Flint, MI 48532-2022

Phone

(810) 406-8727

Fax

(810) 768-7985

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Family Choice Counseling & Case Management Services

  • Clinical Social Worker
  • Flushing, MI
  • NPI 1588920409
  NPD (past) Authorized official
• Alternative Community Living, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saginaw, MI
  • NPI 1487008652
  NPD (past)
• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1689155590
  NPD (past)
• Fenton Wellness

  • Psychologist
  • Fenton, MI
  • NPI 1386964278
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1336338557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320152",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485320003",
            "telephone_number": "810-406-8727",
            "fax_number": "810-768-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 W CIMARRON TRL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322022",
            "telephone_number": "810-406-8727",
            "fax_number": "810-768-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LAJUAN",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Francis Gibson-Hutto
• Diana Lynn Gibson-Lee, O.T.
• Amanda Gibson
• Aundre R Gibson
• Kemyjaha Gibson
• Wayne Gibson, RPH
• Emily Gideon, RD
• Brian Gifford
• Morgan Giggy
• Connie Sue Giguere, M. A., M.A. P. C.

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.