Active NPI
Beverly Gibbs, PLCSW
- Clinical Social Worker
- Butner, NC
National Provider Identifier
1396994281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P004202
- Practice address
- 300 Veasey Road
Butner, NC 27509-1626 - Phone
- (919) 764-5519
- Fax
- (919) 764-2274
- NPI assigned
- Sep 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P004202 | NC | Primary |
Addresses
Primary practice location
300 Veasey Road
Butner, NC 27509-1626
Mailing address
300 Veasey Road
Butner, NC 27509-1626
Phone (919) 764-5519
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 |
|---|---|---|---|
| P004202 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1396994281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 VEASEY ROAD",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091626",
"telephone_number": "919-764-5519",
"fax_number": "919-764-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VEASEY ROAD",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091626",
"telephone_number": "919-764-5519",
"fax_number": "919-764-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "BEVERLY",
"credential": "PLCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P004202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.