Active NPIIndividual providerSole proprietor

Marissa Gibbons, LCSW

Social Worker, Clinical in Trenton, New Jersey

NPI Number1548686298
Practice location
10 Dark Leaf Dr, Trenton, NJ 08610-1310
Fax
—
Last updated
October 19, 2020

Marissa Gibbons is a Social Worker, Clinical based in Trenton, NJ. Marissa Gibbons practices in Trenton, NJ and has the professional credentials of LCSW. The NPI Number for Marissa Gibbons is 1548686298 and holds a License No. 44SC05499000 (NJ). The current practice location address for Marissa Gibbons is 10 Dark Leaf Dr, Trenton, NJ 08610-1310 and can be reached out via phone at 732-670-5525.

Provider Profile Details

NPI Number
1548686298
Provider Name
Marissa Gibbons
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
10 Dark Leaf Dr, Trenton, NJ 08610-1310
Phone Number
732-670-5525
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 5, 2014
Last Update Date
October 19, 2020
Certification Date
October 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Dark Leaf Dr
Trenton, NJ 08610-1310
Zip
08610-1310
Phone Number
732-670-5525
Trenton, NJ 08610Get directions →

Provider Business Mailing Address Details

Address
302 Birchfield Dr
Mount Laurel, NJ 08054-4005
City
Mount Laurel
State
NJ
Zip
08054-4005
Phone Number
856-258-7350

License Information

License Number
44SC05499000
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Gibbons, LCSW?

The NPI number of Marissa Gibbons, LCSW is 1548686298. It was assigned on March 5, 2014 and is currently active in the NPPES registry.

What is the specialty of Marissa Gibbons, LCSW?

Marissa Gibbons, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05499000.

Where does Marissa Gibbons, LCSW practice?

The practice location is 10 Dark Leaf Dr, Trenton, NJ 08610-1310. The office can be reached at 732-670-5525 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548686298 directly on the NPPES registry website.

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