Individual provider · Type 1 NPI
Lydia Gibson
Clinical Social Worker · Chicago, IL
Practice location
2438 W 115th St
Chicago, IL 60655-1427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.031655 (IL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1053230409
Lydia Gibson's National Provider Identifier is 1053230409, issued on Jul 10, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 10, 2026.