Individual provider · Type 1 NPI

Telisa Foots Gibson

Clinical Social Worker · Fort Bragg, NC

NPI number 1609836808 Active

Practice location

2817 Rock Merritt
Fort Bragg, NC 28310-7324

Call (910) 907-9078 Map

Mailing address

2817 Rock Merritt Avenue
Fort Bragg, NC 28310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000958 (NC)

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 1609836808

Telisa Foots Gibson's National Provider Identifier is 1609836808, issued on Mar 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Aug 6, 2025.