Active NPI
Graceson Gibson
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1588572374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 130216
- Practice address
- 2560 W Shaw LN Ste 104
Fresno, CA 93711-2777 - Phone
- (559) 443-4800
- NPI assigned
- Aug 31, 2026
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 130216 | CA | Primary |
Addresses
Primary practice location
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Mailing address
1175 Encore Way W
Madera, CA 93636-8198
Other practice location 1
4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 691-0700
Other practice location 2
2020 High St Ste E
Selma, CA 93662-3518
Phone (559) 896-1007
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Past | Accepting new patients | |
| Fresno County Superintendent of Schools | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1235624768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1467042408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1588572374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 ENCORE WAY W",
"city": "MADERA",
"state": "CA",
"postal_code": "936368198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 W SHAW LN STE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112777",
"telephone_number": "559-443-4800"
}
],
"practiceLocations": [
{
"address_1": "4939 E Yale Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271523",
"country_code": "US",
"telephone_number": "559-691-0700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2020 High St Ste E",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "CA",
"postal_code": "936623518",
"country_code": "US",
"telephone_number": "559-896-1007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "GRACESON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "130216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.