Family Therapy Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018684 Issued in PA

Legal business name

FAMILY THERAPY SERVICES

Practice address

307 Market St
Johnstown, PA 15901-1701

Phone

(814) 254-4351

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Carlene Gibson, LCSWNPI 1073773990

Title

Ceo

Phone

(814) 254-4351

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlene Dawn Gibson, MSW, LSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1073773990
  NPD (past) Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1629512660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159070273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011701",
            "telephone_number": "814-254-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-254-4351",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018684",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield Ave Family Practice
• Brianne Falatovich, DO
• Chelsea Fallier
• Family Dentistry Associates of Johnstown PC
• Family Medical Center (Family Medical center - CHI)
• Charles Farabaugh, PT
• John W. Farabaugh, D.C.
• Thomas Farabaugh
• Munmun Farzana
• Kristin Faust, PSYD

• Clinical Social Worker in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.