Beverly Denise Gibson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801094658 Issued in MI

Practice address

2232 S Main St # 163
Ann Arbor, MI 48103-6938

Phone

(773) 716-4574

NPI assigned

Apr 16, 2015

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Detroit Second Chance Inc

  • Clinical Social Worker
  • River Rouge, MI
  • NPI 1740932342
  Medicare reassignment NPD
• Mindful Living PLLC

  • Psychologist
  • Brighton, MI
  • NPI 1013145879
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1760879787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 S MAIN ST # 163",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036938",
            "telephone_number": "773-716-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 S MAIN ST # 163",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036938",
            "telephone_number": "773-716-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BEVERLY",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ray Gibbons
• Abigail Lynn Gibbs, MD
• Lora Ann Gibbs, CRNA
• Susan K Gibney, LLP
• Gibson Chiropractic Family Health Center
• Claire Gibson
• Erin Elizabeth Gibson, RN BSN
• Krystal Gibson
• Paul Randolph Gibson II, NP
• Phyllis Anne Gibson, MS, RN

• Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.