Active NPI
Debbie Gibbs, MSW
- Clinical Social Worker
- Hoyleton, IL
National Provider Identifier
1346633153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 350 N Main St
Hoyleton, IL 62803-2006 - Phone
- (618) 493-7382
- Fax
- (618) 493-6390
- NPI assigned
- Mar 18, 2015
- Last updated
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
350 N Main St
Hoyleton, IL 62803-2006
Mailing address
350 N Main St
P.O. Box 218
Hoyleton, IL 62803-2006
Phone (618) 493-7382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033699003 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1346633153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N MAIN ST",
"address_2": "P.O. BOX 218",
"city": "HOYLETON",
"state": "IL",
"postal_code": "628032006",
"telephone_number": "618-493-7382",
"fax_number": "618-493-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N MAIN ST",
"city": "HOYLETON",
"state": "IL",
"postal_code": "628032006",
"telephone_number": "618-493-7382",
"fax_number": "618-493-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "DEBBIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033699003",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hoyleton, IL
- Advanced Surgical Technology, LLC (AST Primary Care Hoyleton)
- Hope Justine Brinkmann, MS, RDN
- Elizabeth Catherine Deneef, MA ART THERAPY
- Hoyleton Consol SCH Dist 29
- Hoyleton Youth and Family Services
- Hoyleton Youth and Family Services
- Hoyleton Youth and Family Services
- Hoyleton Youth and Family Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.