MS. LISA MARIE GIBSON-PETTIBON MSW
NPI 1750423059
Social Worker in Indianapolis, IN

Q: What is Lisa Gibson-pettibon's NPI number?

The NPI number for Lisa Gibson-pettibon is 1750423059. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Lisa Gibson-pettibon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since February 13, 2007

5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241(317) 247-8900(317) 247-8935 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Nov 20, 2015 (2 updates tracked since 2015).

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About Ms. Lisa Marie Gibson-pettibon Msw NPPES

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

MS. LISA MARIE GIBSON-PETTIBON MSW (NPI 1750423059) is an individual social worker in Indianapolis, Indiana and active in the NPI registry since February 2007. She maintains a secondary practice location in Basehor.

NPPES Registry Identity

NPI1750423059

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. LISA MARIE GIBSON-PETTIBONCredential: MSW

Location Address5638 PROFESSIONAL CIRIndianapolis, IN 46241-5042

Mailing Address11905 Gatwick View DrFishers, IN 46037-4169 · (317) 910-7752

Phone(317) 247-8900

Fax(317) 247-8935

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateSeptember 14, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1750423059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

5638 PROFESSIONAL CIR, Indianapolis, IN 46241

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Secondary Practice Location 1

Location 11106 N 155th St Ste BBasehor, KS 66007-7100 · Phone (913) 662-7071

Other Providers at the Same Location NPPES 20

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

MARLENE J VILLECCO MS, LCAC

Counselor (Addiction (Substance Use Disorder))