Individual provider · Type 1 NPI

Kallie Gibson, LLMSW

Clinical Social Worker · Plymouth, MI

NPI number 1760302863 Active

Practice location

271 S Main St
Plymouth, MI 48170-1637

Call (734) 455-4095 Map

Mailing address

10894 Oak Ln Apt 10306
Van Buren Township, MI 48111-4389

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851122526 (MI)

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…

12 other providers at this address

Other clinical social worker providers in Plymouth

See all in Plymouth →

About NPI 1760302863

Kallie Gibson, LLMSW's National Provider Identifier is 1760302863, issued on Jul 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MI. The record was last updated on Jul 18, 2026.