Individual provider Active NPI

Cherise Nicole Gibbs Pope, LSW

  • Social Worker
  • Erie, PA
National Provider Identifier
1730962655
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135827 Issued in PA
Practice address
240 W 11TH St Ste 105
Erie, PA 16501-1758
Phone
(814) 453-7955
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135827 PA Primary

Addresses

Primary practice location

240 W 11TH St Ste 105
Erie, PA 16501-1758

Mailing address

240 W 11TH St Ste 105
Erie, PA 16501-1758
Phone (814) 453-7955

Other names 1

  • Cherise Nicole Gibbs Former name

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

LicenseStateTypeSpecialty
SW135827PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1730962655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-453-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-453-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS POPE",
        "first_name": "CHERISE",
        "middle_name": "NICOLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERISE",
            "last_name": "GIBBS",
            "middle_name": "NICOLE",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.