Individual provider Active NPI

Brianna Gibaldi, LCSW

  • Clinical Social Worker
  • Manahawkin, NJ
National Provider Identifier
1952954687
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05857000 Issued in NJ
Practice address
1 Stafford Ave
Manahawkin, NJ 08050-3151
Phone
(609) 709-3735
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05857000 NJ Primary

Addresses

Primary practice location

1 Stafford Ave
Manahawkin, NJ 08050-3151

Mailing address

1061 Cutlass Ave
Manahawkin, NJ 08050-2313
Phone (609) 709-3735

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gibaldicounseling@gmail.com Direct

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

LicenseStateTypeSpecialty
44SC05857000NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1952954687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 CUTLASS AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502313",
            "telephone_number": "609-709-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STAFFORD AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503151",
            "telephone_number": "609-709-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBALDI",
        "first_name": "BRIANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05857000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gibaldicounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1061 Cutlass Ave",
            "city": "Manahawkin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080502313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.