Doctor Name: | THERESE NORCOTT-GIBBONS |
NPI Number: | 1821010687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW013676 |
Business Practice Address: | 6900 Hamilton Blvd Trexlertown, PA - 180879101 |
Business Phone Number: | 6104020101 |
Business Fax Number: | |
Mailing Address: | Po Box 783311, PHILADELPHIA |
State: | PA |
Postal Code: | 191783311 |
Phone Number: | 4848844500 |
Fax Number: | 4848840699 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW013676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |