Individual provider Active NPI

Debra N Gibson, LCSW, LCADC, MHS

  • Clinical Social Worker
  • Union, NJ
National Provider Identifier
1861799694
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01015100 Issued in NJ
Practice address
2810 Morris Ave Ste 209
Union, NJ 07083-4841
Phone
(908) 349-8760
Fax
(908) 349-8092
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00154800 NJ
Mental Health Counselor 101YM0800X S-4343 NJ
Clinical Social Worker 1041C0700X 44SC01015100 NJ Primary

Addresses

Primary practice location

2810 Morris Ave Ste 209
Union, NJ 07083-4841

Mailing address

2810 Morris Ave Ste 209
Union, NJ 07083-4841
Phone (908) 349-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00154800NJMDAddiction (Substance Use Disorder) Counselor
S-4343NJMDMental Health Counselor
44SC01015100NJMDClinical Social Worker
14276SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U Come First Counseling Services, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1861799694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE STE 209",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834841",
            "telephone_number": "908-349-8760",
            "fax_number": "908-349-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MORRIS AVE STE 209",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834841",
            "telephone_number": "908-349-8760",
            "fax_number": "908-349-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DEBRA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCADC, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00154800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "S-4343",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01015100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.