Lisa M Gibson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

405 Issued in WY

Practice address

2509 Research Blvd
Fort Collins, CO 80526-8108

Phone

(307) 214-7655

NPI assigned

Jun 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lisa M Gossert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1700400587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 E PERSHING BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015356",
            "telephone_number": "307-778-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 RESEARCH BLVD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805268108",
            "telephone_number": "307-214-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GOSSERT",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LCSW-405",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Mary Ghelli
• Lauren Ann Giandomenico, PA-C
• Nicol M. Giangrasso-Colicchio, PSY.D.
• McCaili Giauque, MS
• Kathryn A Gibbs, P.A.-C
• Jeffrey M Giddings, P.T.
• Vanessa Giesbrecht
• Kalena Gee Giessler Gonzalez, MSOT, OTR/L
• Michael P Giglio, SAP, LMFT
• Molly Giguere, BS

• Clinical Social Worker in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.