Individual provider Active NPI

Stephanie Karol Gibson-Williams

  • Clinical Social Worker
  • West Chester, PA
National Provider Identifier
1699496307
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022729 Issued in PA
Practice address
780 E Market St Ste 220&230
West Chester, PA 19382-4882
Phone
(610) 892-3800
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 CW022729 PA Primary

Addresses

Primary practice location

780 E Market St Ste 220&230
West Chester, PA 19382-4882

Mailing address

13 Persimmon Dr
Oxford, PA 19363-4236
Phone (703) 489-1648

Other practice location 1

13 Persimmon Dr
Oxford, PA 19363-4236
Phone (703) 489-1648

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022729PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1699496307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PERSIMMON DR",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193634236",
            "telephone_number": "703-489-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E MARKET ST STE 220&230",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824882",
            "telephone_number": "610-892-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Persimmon Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "PA",
            "postal_code": "193634236",
            "country_code": "US",
            "telephone_number": "703-489-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON-WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "KAROL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.