Individual provider · Type 1 NPI

Lacey Gibson

Clinical Social Worker · Arroyo Grande, CA

NPI number 1619479581 Active

Practice location

102 E Branch St Ste G
Arroyo Grande, CA 93420-2738

Call (805) 936-0374 Map

Mailing address

251 S Oak Park Blvd Apt 44
Grover Beach, CA 93433-4214

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Clinical Social Worker Primary 1041C0700X116400 (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 1619479581

Lacey Gibson's National Provider Identifier is 1619479581, issued on Mar 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Arroyo Grande, CA. The record was last updated on Mar 10, 2026.