Active NPI
Briana Theodora Gibson
- Social Worker
- Arlington, VA
National Provider Identifier
1356120737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0903003942
- Practice address
- 1331 S Eads St Apt 1118
Arlington, VA 22202-4735 - Phone
- (202) 744-4944
- NPI assigned
- Sep 26, 2023
- 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 | 0903003942 | VA | Primary |
| Social Worker | 104100000X | 30678 | MD |
Addresses
Primary practice location
1331 S Eads St Apt 1118
Arlington, VA 22202-4735
Mailing address
1331 S Eads St Apt 1118
Arlington, VA 22202-4735
Phone (202) 744-4944
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30678 | MD | MD | Social Worker |
| 0903003942 | VA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1356120737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 S EADS ST APT 1118",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024735",
"telephone_number": "202-744-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 S EADS ST APT 1118",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222024735",
"telephone_number": "202-744-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "BRIANA",
"middle_name": "THEODORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0903003942",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "30678",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.