Craig William Gibbs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27635 Issued in CA

Practice address

1230 High St
Suite 120a
Auburn, CA 95603-5043

Phone

(530) 878-8319

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1952432056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HIGH ST",
            "address_2": "SUITE 120A",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035043",
            "telephone_number": "530-878-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HIGH ST",
            "address_2": "SUITE 120A",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035043",
            "telephone_number": "530-878-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "27635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27635",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "27635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "27635",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Lee Gemulla, MBA, MS
• Kirsten Renee George, PA-C
• GHC of Auburn, LLC
• GHC of Blue Oaks LLC
• Meghon Giardina, LMFT
• David Randolph Gibson, HEARING AID DISPENSE
• Robin Gibson
• William Joseph Gilbrech, D.P.M.
• Dina Eide Gillette, RDH
• Wendy Gire

• Clinical Social Worker in Auburn, CA
• Providers in Auburn, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.