Individual provider · Type 1 NPI

Kellyanne Charlotte Gibson, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1619071289 Active

Practice location

10 N Greene St
Baltimore, MD 21201-1524

Call (410) 605-7449 Map

Fax (410) 605-7731

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13647 (MD)

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 1619071289

Kellyanne Charlotte Gibson, LCSW-C's National Provider Identifier is 1619071289, issued on Sep 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Nov 20, 2007.