Olivia Ellis Gibson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000006017 Issued in TN

Practice address

1028 State Blvd
Franklin, TN 37064-8643

Phone

(615) 219-9932

Fax

(615) 622-1196

NPI assigned

May 26, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1982083796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FRONT ST STE 116-129",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645078",
            "telephone_number": "615-219-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 STATE BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648643",
            "telephone_number": "615-219-9932",
            "fax_number": "615-622-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "OLIVIA",
        "middle_name": "ELLIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000006017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geriatric Health and Care Management LLC (Geriatric Health and Care Management)
• Lauren Weil Ghent
• Gi Cares
• Dawn Giammalvo, FDNP, NBC-HWC
• Amanda Gibson
• Richard Dale Gibson, M.D.
• Victoria Cornelus Gibson, MA CCC SLP
• William Donald Gibson, M.D.
• Jeannie Kristin Giese, DNP
• Kayla Brooke Gilbert

• Clinical Social Worker in Franklin, TN
• Providers in Franklin, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.