Virginia A Gipson, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3105-C Issued in AR

Practice address

3720 Shock Loop
Conway, AR 72034-9320

Phone

(501) 289-2956

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healing Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conway, AR
  • NPI 1508576315
  NPD Authorized official
• Therapy Assessment Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, AR
  • NPI 1629800099
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1497989107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SHOCK LOOP",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349320",
            "telephone_number": "501-289-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SHOCK LOOP",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349320",
            "telephone_number": "501-289-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "3105-C",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "3105-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Collier Gill, M.S., CCC-A
• James Arthur Gillaspy Jr., PH.D.
• Andrea N Gilliam
• Shelby Gilmore
• Camdyn Gipson
• Freman Girdler, PHARMD
• NA'Shantia Girtman, QBHP
• Ashleigh Mae Glass
• Glenn McClendon DPM Inc
• Amber Michelle Glover, MHPP

• Social Worker in Conway, AR
• Providers in Conway, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.