Active NPI
Olive S Gibbs, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1932442563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7491455
- Practice address
- 8325 5TH Ave
A1
Brooklyn, NY 11209-4560 - Phone
- (718) 745-4288
- NPI assigned
- Apr 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7491455 | NY | Primary |
Addresses
Primary practice location
8325 5TH Ave
A1
Brooklyn, NY 11209-4560
Mailing address
1008 E 40TH St
Brooklyn, NY 11210-3530
Phone (718) 377-7710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7491455 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1932442563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 E 40TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103530",
"telephone_number": "718-377-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 5TH AVE",
"address_2": "A1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094560",
"telephone_number": "718-745-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "OLIVE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "7491455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.