Individual provider · Type 1 NPI

Fanta Gibson, LCSW, CDP

Clinical Social Worker · Danville, IL

NPI number 1841751609 Active

Practice location

1900 E Main St, Va Illiana Healthcare System, Social Work Dept
Danville, IL 61832-5100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4059-C (AR)

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 1841751609

Fanta Gibson, LCSW, CDP's National Provider Identifier is 1841751609, issued on Mar 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Danville, IL. The record was last updated on Aug 10, 2021.