Rebecca Ellen Gibson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24900 Issued in MD

Practice address

1301 York Road, Suite 800
#1028
Lutherville, MD 21093-6348

Phone

(443) 212-8137

NPI assigned

Mar 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

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.

• Wired Differently Therapy LLC

  dba Wired Differently

  • Clinical Social Worker
  • Pikesville, MD
  • NPI 1366215451
  NPD Authorized official
• Brain Modulation Services, LLC

  • Psychiatry Physician
  • Chevy Chase, MD
  • NPI 1609409150
  NPD (past)
• Washington Behavioral Medicine Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chevy Chase, MD
  • NPI 1336553320
  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1881289437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK ROAD, SUITE 800",
            "address_2": "#1028",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936348",
            "telephone_number": "443-212-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK ROAD, SUITE 800",
            "address_2": "#1028",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936348",
            "telephone_number": "443-212-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivka Gerstenfeld
• Paul Frank Giannandrea, M.D.
• Giant of Maryland LLC (Giant Pharmacy 128)
• Rosanna B Gibbons, R D
• Emily Groschan Gibson, PT, DPT
• Glen Elyn Anesthesia Associates, LLC
• Glimmer Counseling, LLC
• Jack A. Goble Jr., PA-C
• Adva Nofar Goldberg, LMT
• Mark Goldberg

• Clinical Social Worker in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.