Active NPI
Kallie Gibson, LLMSW
- Clinical Social Worker
- Plymouth, MI
National Provider Identifier
1760302863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851122526
- Practice address
- 271 S Main St
Plymouth, MI 48170-1637 - Phone
- (734) 455-4095
- NPI assigned
- Jul 17, 2026
- Last updated
- Jul 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851122526 | MI | Primary |
Addresses
Primary practice location
271 S Main St
Plymouth, MI 48170-1637
Mailing address
10894 Oak LN Apt 10306
Van Buren Township, MI 48111-4389
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth Works Inc. | Past | Accepting new patients | |
| Growth Works, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Plymouth, MI
- NPI 1386978385
-
- Addiction (Substance Use Disorder) Psychologist
- Plymouth, MI
- NPI 1851448146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1760302863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10894 OAK LN APT 10306",
"city": "VAN BUREN TOWNSHIP",
"state": "MI",
"postal_code": "481114389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 S MAIN ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701637",
"telephone_number": "734-455-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "KALLIE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851122526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.