National Provider Identifier
Julie Elisabeth Gibson, LCSW-R
Julie Elisabeth Gibson, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rushville, NY and a listed phone number of (585) 554-6492.
Profile Overview
- NPI
- 1053437913
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 22, 2007
- Last Updated
- May 23, 2024
Practice Location
- 4120 Baldwin RD
- Rushville, NY 14544-9738
Phone: (585) 554-6492
Mailing Address
- PO Box 45
- Dresden, NY 14441-0045
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1053437913
- Entity Type
- Individual
- Last Name
- Gibson
- First Name
- Julie
- Middle Name
- Elisabeth
- Credential
- LCSW-R
- Mailing Street Address
- PO Box 45
- Mailing City
- Dresden
- Mailing State
- NY
- Mailing ZIP Code
- 14441-0045
- Mailing Country
- US
- Mailing Phone
- (315) 521-9882
- Practice Street Address
- 4120 Baldwin RD
- Practice City
- Rushville
- Practice State
- NY
- Practice ZIP Code
- 14544-9738
- Practice Country
- US
- Practice Phone
- (585) 554-6492
- Practice Fax
- (585) 554-3917
- Enumeration Date
- March 22, 2007
- Last Updated
- May 23, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 23, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)