Individual provider Active NPI

Libby J Gilman-Fleming, LCSW

  • Clinical Social Worker
  • San Juan Capistrano, CA
National Provider Identifier
1528094612
Registry record updated Jan 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20530 Issued in CA
Practice address
32302 Camino Capistrano
Suite 202
San Juan Capistrano, CA 92675-4501
Phone
(949) 842-3250
Fax
(949) 488-7793
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20530 CA Primary

Addresses

Primary practice location

32302 Camino Capistrano
Suite 202
San Juan Capistrano, CA 92675-4501

Mailing address

32302 Camino Capistrano
Suite 202
San Juan Capistrano, CA 92675-4501
Phone (949) 842-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 20, 2025 through Jun 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS20530CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230768000000",
    "number": "1528094612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32302 CAMINO CAPISTRANO",
            "address_2": "SUITE 202",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754501",
            "telephone_number": "949-842-3250",
            "fax_number": "949-488-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32302 CAMINO CAPISTRANO",
            "address_2": "SUITE 202",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754501",
            "telephone_number": "949-842-3250",
            "fax_number": "949-488-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN-FLEMING",
        "first_name": "LIBBY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.