Mrs Angela Elliott Gibbs, LCSW is a
Social Worker - Clinical based in Roseville, Illinois. Mrs Angela Elliott Gibbs is licensed to practice in Illinois (license number 149.013578) and her current practice location is
560 E Maple St, Roseville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 371-5933.
NPI number for Mrs Angela Elliott Gibbs is 1205424728 and her current mailing address is 560 E Maple St, Roseville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205424728.
Healthcare Provider's Profile
Full Name | Mrs Angela Elliott Gibbs |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 560 E Maple St, Roseville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205424728
- Provider Enumeration Date: 01/10/2021
- Last Update Date: 01/10/2021
Medical Identifiers
Medical identifiers for Mrs Angela Elliott Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205424728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.013578 (Illinois) | 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. Mrs Angela Elliott Gibbs 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 |
Mrs Angela Elliott Gibbs, LCSW 560 E Maple St, Roseville, IL 61473-9679 Ph: (309) 371-5933 | Mrs Angela Elliott Gibbs, LCSW 560 E Maple St, Roseville, IL 61473-9679 Ph: (309) 371-5933 |
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