DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK J. GIBSON, LCSW

Active Sole Proprietor

MARK J. GIBSON, LCSW is a Clinical Social Worker healthcare provider located in SUTTER CREEK, California. NPI 1215211008 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SUTTER CREEK, CA

Registration Details

NPI Number
1215211008
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2011 (14.696394305872 yrs)
Last Updated
Dec 5, 2023
License
27742 (CA)
Sole Proprietor
Yes

Practice Information

Address
18 BRYSON DR
SUTTER CREEK, CA, 956854118
Browse CA providers · Browse ZIP 95685
Phone
5302102285
Fax
5304920902
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SUTTER CREEK, CA

Name Credential NPI
TERRY BETH DEVRIES LCSW 1952348344
MS. MEGAN EMILY HARRIS LCSW 1861529463
MELISSA M. CRANFILL LCSW 1184843666
MRS. CHELSEA YULE LCSW 1275783466
YING LOR 1649688052
MYRA CARRENO 1154881043
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.