JIMMY R. GIBSON LISW
NPI 1093803314
Social Worker - Clinical in Carlsbad, NM

Active since October 11, 2006
302 N MAIN ST, CARLSBAD, NM 88220(575) 885-0956(575) 234-9854 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jimmy R. Gibson Lisw NPPES

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

JIMMY R. GIBSON LISW (NPI 1093803314) is an individual clinical provider in Carlsbad, New Mexico, licensed in New Mexico (X-07673) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1093803314
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJIMMY R. GIBSONCredential: LISW
Location Address302 N MAIN STCarlsbad, NM 88220-5896
Mailing Address914 N Canal StCarlsbad, NM 88220-5110 · (575) 885-4836 · Fax (575) 628-0676
Fax(575) 234-9854
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 27, 2012
✔ NPI 1093803314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NM · X-07673✔ Licensed in KY · 1544
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.
302 N MAIN ST, Carlsbad, NM 88220

Other Identifiers 12

Medicare ID-Type Unspecified0675525KY
Medicare ID-Type Unspecified0371326KY
Medicare ID-Type Unspecified0366431KY
Medicare ID-Type Unspecified0675425KY
Medicare ID-Type Unspecified0675625KY
Other000000375385KY · Anthem Bc/bs
Medicare ID-Type Unspecified0675725KY
Medicare ID-Type Unspecified1266964KY
Other1164437KY · Cha Health
Medicare ID-Type Unspecified0653326KY
Other611549000KY · Acs-dept Of Labor
Medicare ID-Type Unspecified0662428KY

Other Providers at the Same Location NPPES 11

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

Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220
Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220
Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220
Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220
Social Worker
302 N MAIN ST
CARLSBAD, NM 88220
Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220
Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220
Case Manager/Care Coordinator
302 N MAIN ST
CARLSBAD, NM 88220

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 Jimmy Gibson's NPI number?

The NPI number for Jimmy Gibson is 1093803314. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Jimmy Gibson located?

Jimmy Gibson practices at 302 N Main St, Carlsbad, NM 88220. The listed phone number is (575) 885-0956.

What is Jimmy Gibson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jimmy Gibson was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.