David Gibson, LICSW | |
821 Raymond Ave Ste 200, Saint Paul, MN 55114-1509 | |
(651) 216-8899 | |
Not Available |
Full Name | David Gibson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 821 Raymond Ave Ste 200, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134133374 | NPI | - | NPPES |
62-51344 | Other | MN | UBH |
1025840 | Other | MN | P1 |
123775 | Other | MN | UC |
12D53GI | Other | MN | BCBS |
46411 | Other | MN | HP |
475526000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11191 (Minnesota) | Primary |
Entity Name | Minnesota Center For Psychology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023258662 PECOS PAC ID: 2264583954 Enrollment ID: O20090618000654 |
Mailing Address | Practice Location Address |
---|---|
David Gibson, LICSW 1945 Stanford Ave, Saint Paul, MN 55105-1655 Ph: (651) 216-8899 | David Gibson, LICSW 821 Raymond Ave Ste 200, Saint Paul, MN 55114-1509 Ph: (651) 216-8899 |
Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850 | |
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978 | |
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083 | |
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900 | |
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659 | |
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766 | |
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294 |