Doctor Name: | NANCY M GIBBONS |
NPI Number: | 1073650990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1020270 |
Business Practice Address: | 966a Park St Stoughton, MA - 020723650 |
Business Phone Number: | 7813410923 |
Business Fax Number: | 7813410994 |
Mailing Address: | 511 Central St, EAST BRIDGEWATER |
State: | MA |
Postal Code: | 023332023 |
Phone Number: | 5083500028 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1020270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |