Individual provider Active NPI

Allison Denise Gibbs, MSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1477708287
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008077 Issued in GA
Practice address
3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607
Phone
(215) 444-7472
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X CSW008077 GA Primary

Addresses

Primary practice location

3621 Aramingo Ave Ste 5C
Philadelphia, PA 19134-4607

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

10 N Clarendon Ave Ste B
Avondale Estates, GA 30002-1165
Phone (267) 797-3149

Other practice location 2

104 1/2 Forrest Ave Ste 28
Narberth, PA 19072-2220
Phone (267) 666-8083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200225001326 PA Practitioner - Clinical Social Worker 9638506041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008077GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Clinical CurrentSince Apr 14, 2025 Accepting new patients

Locations

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

3621 Aramingo Ave
Ste 5C
Philadelphia, PA 19134
Phone (215) 444-7472

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1477708287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARAMINGO AVE STE 5C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344607",
            "telephone_number": "215-444-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 N Clarendon Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Avondale Estates",
            "state": "GA",
            "postal_code": "300021165",
            "country_code": "US",
            "telephone_number": "267-797-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 1/2 Forrest Ave Ste 28",
            "address_purpose": "LOCATION",
            "city": "Narberth",
            "state": "PA",
            "postal_code": "190722220",
            "country_code": "US",
            "telephone_number": "267-666-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ALLISON",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.