Individual provider · Type 1 NPI

Mark J. Gibson, LCSW

Clinical Social Worker · Sutter Creek, CA

NPI number 1215211008 Active

Practice location

18 Bryson Dr
Sutter Creek, CA 95685-4118

Fax (530) 492-0902

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27742 (CA)

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 1215211008

Mark J. Gibson, LCSW's National Provider Identifier is 1215211008, issued on Sep 28, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sutter Creek, CA. The record was last updated on Dec 5, 2023.