David Gibson Licsw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11191 Issued in MN

Legal business name

DAVID GIBSON LICSW LLC

Practice address

821 Raymond Ave Ste 200
Saint Paul, MN 55114-1509

Phone

(651) 216-8899

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Gibson, LICSWNPI 1134133374

Title

Licensed Clinical Social Worker

Phone

(651) 216-8899

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Gibson, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1134133374
  Authorized official Same address or phone

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1386882496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 STANFORD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051655",
            "telephone_number": "651-216-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141509",
            "telephone_number": "651-216-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GIBSON LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "651-216-8899",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen E Dauer, M.S. CCC
• McKenzie E Daul, MSW, LICSW
• Jilleen Dauth, LPCC
• Melissa Ann Davenport-Laplante, MA, LMFT
• Danielle Davenport, CNP
• David L. Gilbertson, DO, PA (St Anthony Park Clinic)
• Thomas Henry Gillespie David, PT, DPT
• Sandra Ann Davidson
• Sonchie Davies-Ogunleye
• Hannah Davies, OTR/L

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.