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JEANETTE M GIBSON LCSW
NPI 1073233714
Social Worker - Clinical in San Jose, CA

Active since September 01, 2022PECOS Enrolled
570 BLOSSOM HILL RD, SAN JOSE, CA 95123(855) 799-4647(669) 223-8255 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2022, Sep 1, 2022 (2 updates tracked since 2022).

About Jeanette M Gibson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTE M GIBSON LCSW (NPI 1073233714) is an individual clinical provider in San Jose, California, licensed in California (101081) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073233714
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANETTE M GIBSONCredential: LCSW
Location Address570 BLOSSOM HILL RDSan Jose, CA 95123-3212
Mailing AddressPo Box 888Tracy, CA 95378-0888 · (209) 650-0896
Phone(855) 799-4647
Fax(669) 223-8255
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1073233714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 101081
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.
570 BLOSSOM HILL RD, San Jose, CA 95123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanette M Gibson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeanette Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
10 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCESCA MAFFEI NP
Nurse Practitioner (Primary Care)
570 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (855) 799-4647
ROSA A LEON HERNANDEZ LCSW
Social Worker (Clinical)
570 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (855) 799-4647
JOSHUA CROSE MEDICAL, INC
Psychiatry & Neurology (Psychiatry)
570 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (855) 799-4647
ACCESS BEHAVIORAL SERVICES, INC
Psychiatry & Neurology (Psychiatry)
570 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (855) 799-4647
JULIAN LEE LMFT
Marriage & Family Therapist
570 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (855) 799-4647
SPREAD YOUR WINGS FOR MENTAL HEALTH INC
Psychiatry & Neurology (Psychiatry)
570 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (855) 799-4647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanette Gibson's NPI number?

The NPI number for Jeanette Gibson is 1073233714. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Jeanette Gibson located?

Jeanette Gibson practices at 570 Blossom Hill Rd, San Jose, CA 95123. The listed phone number is (855) 799-4647.

What is Jeanette Gibson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeanette Gibson enrolled in Medicare?

Yes. Jeanette Gibson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanette Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Gibson reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanette Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanette Gibson was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.