National Provider Identifier
Katie Allyson Gibbons, LMSW
Katie Allyson Gibbons, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Victor, NY and a listed phone number of (585) 905-5468.
Profile Overview
- NPI
- 1417841867
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 09, 2025
- Last Updated
- June 09, 2025
Practice Location
- 10 E Main St
- Victor, NY 14564-1334
Phone: (585) 905-5468
Mailing Address
- 11 Walnut Run
- Fairport, NY 14450-3825
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1417841867
- Entity Type
- Individual
- Last Name
- Gibbons
- First Name
- Katie
- Middle Name
- Allyson
- Credential
- LMSW
- Provider Other Last Name
- Linn
- Provider Other First Name
- Katie
- Provider Other Middle Name
- Allyson
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 11 Walnut Run
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3825
- Mailing Country
- US
- Mailing Phone
- (585) 794-1055
- Practice Street Address
- 10 E Main St
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-1334
- Practice Country
- US
- Practice Phone
- (585) 905-5468
- Enumeration Date
- June 09, 2025
- Last Updated
- June 09, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)