Individual provider · Type 1 NPI

Staci K. Gibbs

Clinical Social Worker · Tampa, FL

NPI number 1437401205 Active

Practice location

11428 N 53rd St
Tampa, FL 33617-2216

Mailing address

802 117th Ter N Apt 16
St. Petersburg, FL 33716-2472

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW 6906 (FL)

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 1437401205

Staci K. Gibbs's National Provider Identifier is 1437401205, issued on Oct 3, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Oct 3, 2012.