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Justin Wade Gibson, LCSW,LCASA
Clinical Social Worker in Burgaw, North Carolina
NPI 1508408105

Justin Wade Gibson is a Clinical Social Worker based in Wilmington, NC and is specialized in Clinical. Justin Wade Gibson practices in Burgaw, NC and has the professional credentials of LCSW,LCASA. The NPI Number for Justin Wade Gibson is 1508408105 and holds a License No. 24725 (North Carolina).

The current practice location address for Justin Wade Gibson is 309 Progress Dr, Burgaw, NC and can be reached out via phone at 910-259-0668 and via fax at 910-202-9966.

Location: 309 Progress Dr, Burgaw, NC, 28412-6431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508408105
Provider Name
Justin Wade Gibson
Credential
LCSW,LCASA
Provider Entity Type
Individual
Gender
Male
Address
309 Progress Dr, Burgaw, NC, 28412-6431
Phone Number
910-259-0668
Fax Number
910-202-9966
Provider Enumeration Date
10/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-5150377 05 NC
institution
Provider Business Practice Location Address Details
Address
309 Progress Dr
City
Burgaw
State
North Carolina
Zip
28425-3280
Phone Number
910-259-0668
Fax Number
910-202-9966
person
Provider Business Mailing Address Details
Address
309 Progress Dr
City
Burgaw
State
North Carolina
Zip
28425-3280
Phone Number
910-259-0668
Fax Number
910-202-9966
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C014663 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
24725 (North Carolina)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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