Etienne Anthony Gibbs, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

007358 Issued in ID

Practice address

2925 Cedar St
Suite 2
Muscatine, IA 52761-2383

Phone

(563) 263-7410

Fax

(563) 263-7506

NPI assigned

Jan 18, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1881999183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CEDAR ST",
            "address_2": "SUITE 2",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612383",
            "telephone_number": "563-263-7410",
            "fax_number": "563-263-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CEDAR ST",
            "address_2": "SUITE 2",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612383",
            "telephone_number": "563-263-7410",
            "fax_number": "563-263-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ETIENNE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "007358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Garwood, LMHC
• Megan Marie Gayman, OT
• Tyler Christian Geiger
• Leslie Elise George-Paulsen, DO
• James Gibbons, CADC
• Mary Lynn Gieselman, MSN-ARNP
• Rachel Gilbert, FNP
• Ann Giovanazzi, L.M.H.C . C.R.C.
• Barbara Joan Gipple, DDS
• John Randy Gipple, M.D.

• Social Worker in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.