Julie Ann Gibson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000712 Issued in MO

Practice address

4401 NE Vivion Rd
Suite 203
Kansas City, MO 64119-2807

Phone

(816) 455-7450

Fax

(816) 746-9850

NPI assigned

Sep 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jag Therapy, LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1831139104
  Medicare reassignment Authorized official
• Responsive Management Clinic, Inc.

  dba Responsive Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1164512562
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1700073202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NE VIVION RD",
            "address_2": "SUITE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192807",
            "telephone_number": "816-455-7450",
            "fax_number": "816-746-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 NE VIVION RD",
            "address_2": "SUITE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641192807",
            "telephone_number": "816-455-7450",
            "fax_number": "816-746-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496679416",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asia Gibson
• Brooke S Gibson, NP
• Erica Ellis Gibson, MD
• Jade Alexa Gibson, RD
• Joseph Andrew Gibson, CRNA
• Margaret E Gibson, MD
• Megan Denise Gibson, PLPC
• Michael Ford Gibson, M.D.
• Mirah Ashley Gibson, LMSW
• Stacey L Gibson, RN, CPNP-PC

• Clinical Social Worker in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.