Individual provider · Type 1 NPI

Angela Elliott Gibbs, L.C.S.W.

Clinical Social Worker · Roseville, IL

NPI number 1205424728 Active

Practice location

560 E Maple St
Roseville, IL 61473-9679

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013578 (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…

About NPI 1205424728

Angela Elliott Gibbs, L.C.S.W.'s National Provider Identifier is 1205424728, issued on Jan 10, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, IL. The record was last updated on Jan 10, 2021.