Active NPI
Sarah Gibbons
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1770002255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16422
- Practice address
- 4231 Balboa Ave
San Diego, CA 92117-5504 - Phone
- (410) 251-3984
- NPI assigned
- Sep 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC50081026 | DC | |
| Clinical Social Worker | 1041C0700X | 16422 | MD | Primary |
Addresses
Primary practice location
4231 Balboa Ave
San Diego, CA 92117-5504
Mailing address
6950 Columbia Gateway Dr
Columbia, MD 21046-2706
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC50081026 | DC | MD | Clinical Social Worker |
| 16422 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1770002255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 COLUMBIA GATEWAY DR",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210462706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 BALBOA AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175504",
"telephone_number": "410-251-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50081026",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.