Rodney Keith Gibbons, RCSWI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW20183 Issued in FL

Practice address

13245 Atlantic Blvd Ste 4-397
Jacksonville, FL 32225-7121

Phone

(904) 763-2300

NPI assigned

Dec 26, 2024

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

Other names 1

• Keith Gibbons Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Resilient Me Counseling LLC

  • Adult Mental Health Clinic/Center
  • Jacksonville, FL
  • NPI 1336934744
  NPD

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1346058021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 4-397",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257121",
            "telephone_number": "904-763-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 ATLANTIC BLVD STE 4-397",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257121",
            "telephone_number": "904-763-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "RODNEY",
        "middle_name": "KEITH",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW20183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "GIBBONS",
            "credential": "RCSWI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Giancarlo Bertozzi MD PA
• Kelly Giang, PHARMD
• Sara Lauren Gianino, M.S., B.C.B.A.
• Jena Giannone, CCC-SLP
• Fantine Nguyen Giap, MD
• Sabrina Latanya Gibbons
• Sophie Gibbons
• Amanda Gibbs, PHARMD
• Austin Gibbs, DNP CRNA
• Evan Mackenzie Gibbs, MD

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.