Lakisha Gibson, CHW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

777 Main St Ste 600
Fort Worth, TX 76102-5368

Phone

(512) 817-4248

Fax

(888) 473-2963

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1619669603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MAIN ST STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025368",
            "telephone_number": "512-817-4248",
            "fax_number": "888-473-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MAIN ST STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025368",
            "telephone_number": "512-817-4248",
            "fax_number": "888-473-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 Willow Rock Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762444332",
            "country_code": "US",
            "telephone_number": "682-553-6788",
            "fax_number": "888-473-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LAKISHA",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "15908",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Gibson
• Carli Charisse Gibson, LPC
• Diana Kristine Gibson, LPC
• Elisabeth Breiman Gibson, PSYD
• Keenan Gibson, DO
• Larisa Janae Gibson
• Morgan Gibson
• Presley Gibson
• Toni Sue Giddens, LCDC
• Gideon Ofisi

• Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.