Active NPI
Mary Anne Gibson, L.M.S.W.
- Social Worker
- Clarinda, IA
National Provider Identifier
1649499591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 01722
- Practice address
- 1800 N 16TH St
Clarinda, IA 51632-1165 - Phone
- (712) 542-2388
- Fax
- (712) 542-2984
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 01722 | IA | Primary |
Addresses
Primary practice location
1800 N 16TH St
Clarinda, IA 51632-1165
Mailing address
1759 230TH St
Coin, IA 51636-4001
Phone (712) 264-4340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01722 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649499591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 230TH ST",
"city": "COIN",
"state": "IA",
"postal_code": "516364001",
"telephone_number": "712-264-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N 16TH ST",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516321165",
"telephone_number": "712-542-2388",
"fax_number": "712-542-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "01722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarinda, IA
- Eyecare Associates of Southwest Iowa Inc
- Five Star Quality Care Ia LLC
- Foot and Ankle Center of Nebraska, P.C.
- Natasha Marie Furst, PTA
- Talisha I Furst, ARNP
- Kathleen Lynn Gillespie-Jensen, MA, MS, TLMHC
- Andrea Gomez
- Hailly Brooke Greenough
- Trista Louise Grossnickle, PMHNP
- Danielle Jo Groves, RD, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.