MS. BEVERLY M GIBSON LCADC CSW NPI 1245543453

NPI Information

NPI: 1245543453
Provider Name: MS. BEVERLY M GIBSON, LCADC, CSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
68 DUNMORE AVNEUE
EWING, NJ
ZIP 08618
Phone: (609) 577-9714
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MS. Beverly M Gibson, LCADC, CSW is a counselor in Ewing, NJ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Beverly M Gibson, LCADC, CSW NPI is 1245543453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

68 DUNMORE AVNEUE
EWING, NJ
ZIP 08618
Phone: (609) 577-9714
Fax: (608) 671-1500

The enumeration date for this NPI number is 7/16/2010 and was last updated on 7/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00032400	NEW JERSEY	No
2	101Y00000X	Counselor		44SW00330700	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44SW00330700	OTHER	NEW JERSEY	CSW
2	37LC00032400	OTHER	NEW JERSEY	LCADC, CSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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