Active NPI
Caitlin Gibb, LCSW, LMFT
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1396497780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L30025
- Practice address
- 1235 SE Division Strest
Suite 203B
Portland, OR 97202-1087 - Phone
- (805) 602-0276
- NPI assigned
- Jan 26, 2022
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | TI1411 | OR | |
| Clinical Social Worker | 1041C0700X | L30025 | OR | Primary |
Addresses
Primary practice location
1235 SE Division Strest
Suite 203B
Portland, OR 97202-1087
Mailing address
4028 NE 41St Ave
Portland, OR 97212-1934
Phone (805) 602-0276
Other practice location 1
4028 NE 41st Ave
Portland, OR 97212-1934
Phone (805) 602-0276
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 |
|---|---|---|---|
| L30025 | OR | MD | Clinical Social Worker |
| TI1411 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1396497780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4028 NE 41ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121934",
"telephone_number": "805-602-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 SE DIVISION STREST",
"address_2": "SUITE 203B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021087",
"telephone_number": "805-602-0276"
}
],
"practiceLocations": [
{
"address_1": "4028 NE 41st Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972121934",
"country_code": "US",
"telephone_number": "805-602-0276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBB",
"first_name": "CAITLIN",
"name_prefix": "Mrs.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2025-02-27",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "TI1411",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L30025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.