Individual provider Active NPI

Magaly J Gibson, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1558181511
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017502 Issued in VA
Practice address
8350 Richmond Hwy Ste 415
Alexandria, VA 22309-2345
Phone
(703) 704-6810
Fax
(703) 653-6613
NPI assigned
Oct 15, 2024
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 0904017502 VA Primary

Addresses

Primary practice location

8350 Richmond Hwy Ste 415
Alexandria, VA 22309-2345

Mailing address

8350 Richmond Hwy Ste 415
Alexandria, VA 22309-2345
Phone (703) 704-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20241108002529 DC Practitioner - Clinical Social Worker 1254865553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904017502VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Oct 13, 2024 Accepting new patients

Locations

8350 Richmond Hwy
Ste 415
Alexandria, VA 22309
Phone (703) 704-6345

8350 Richmond Hwy
Ste 415515
Alexandria, VA 22309

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1558181511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 415",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092345",
            "telephone_number": "703-704-6810",
            "fax_number": "703-653-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY STE 415",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092345",
            "telephone_number": "703-704-6810",
            "fax_number": "703-653-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MAGALY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.