Individual provider Active NPI

Eular Gibbs

  • Clinical Social Worker
  • Elkton, MD
National Provider Identifier
1689895724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08492 Issued in MD
Practice address
718 N Bridge St
Elkton, MD 21921-5310
Phone
(610) 363-1488
Fax
(610) 363-8273
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 08492 MD Primary

Addresses

Primary practice location

718 N Bridge St
Elkton, MD 21921-5310

Mailing address

115 W Wheel Rd
Bel Air, MD 21015-6124
Phone (610) 363-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08492MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Christian Counseling of Cecil County Clinical Past Accepting new patients
Safe Harbor Christian Counseling of Cecil County Clinical Past Accepting new patients
Safe Harbor Christian Counseling of Cecil County Clinical Past Accepting new patients

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689895724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W WHEEL RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156124",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215310",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "EULAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.