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MS. ALIX MATTY GIBSON LICSW NPI 1912178708


NPI Information

NPI: 1912178708
Provider Name: MS. ALIX MATTY GIBSON, LICSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
20 HOUGHTON ST
SUITE 211
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-4953
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MS. Alix Matty Gibson, LICSW is a social worker in Saint Albans, VT. The provider is 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. MS. Alix Matty Gibson, LICSW NPI is 1912178708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 HOUGHTON ST
SUITE 211
SAINT ALBANS, VT
ZIP 05478-227
Phone: (802) 524-4953
Fax: (802) 527-5404

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker0890000970VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11009725MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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