Individual provider · Type 1 NPI

Lisa M. Gibson

Clinical Social Worker · Fort Collins, CO

NPI number 1700400587 Active

Practice location

2509 Research Blvd
Fort Collins, CO 80526-8108

Call (307) 214-7655 Map

Mailing address

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X405 (WY)

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 1700400587

Lisa M. Gibson's National Provider Identifier is 1700400587, issued on Jun 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on Jun 8, 2020.