Amanda Gibson, LCSW is a
Counselor - Mental Health based in Sacramento, California. Amanda Gibson is licensed to practice in California (license number 25790) and her current practice location is
2617 K St Ste 125, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 425-3311.
NPI number for Amanda Gibson is 1790888998 and her current mailing address is 2617 K St Ste 125, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790888998.
Healthcare Provider's Profile
Full Name | Amanda Gibson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 2617 K St Ste 125, Sacramento, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790888998
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 03/20/2023
Medical Identifiers
Medical identifiers for Amanda Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790888998 | NPI | - | NPPES |
1790888998 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 20197 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCS25790 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 25790 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Gibson, LCSW 2617 K St Ste 125, Sacramento, CA 95816-5133 Ph: (916) 425-3311 | Amanda Gibson, LCSW 2617 K St Ste 125, Sacramento, CA 95816-5133 Ph: (916) 425-3311 |
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