SHANNON LEIGH GIBSON (NPI# 1790332732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790332732 |
| Entity Type | Individual |
| Full Name | SHANNON LEIGH GIBSON |
| Other Name | SHANNON LEIGH BURKE |
| Credential | LCSW |
| Practice Address |
770 Woodlane Rd Westampton NJ 08060-3804 |
| Practice Telephone | 6092675928 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05679200 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699157784 | Shannon Gibson | Massage Therapist | 131 Pinnacle Pl, Durango, CO 81301-7815 | 2015-06-24 |
| 1285931980 | Shannon Gibson | Licensed Practical Nurse | 6431 Graceland Ave, Cincinnati, OH 45237-4405 | 2011-02-16 |
| 1407046600 | Shannon Brooke Gibson | Family Medicine | 411 Union St, Jonesboro, AR 72401-2834 | 2007-07-25 |
| 1972135135 | Shannon Gibson | Behavior Technician | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2020-02-06 |
| 1730562190 | Shannon Nicole Gibson | Physician Assistant | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2015-07-02 |
| Street Address |
770 WOODLANE RD |
| City | WESTAMPTON |
| State | NJ |
| Zip Code | 08060-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255427647 | Oaks Integrated Care | Clinic/Center | 770 Woodlane Rd, Westampton, NJ 08060-3806 | 2006-10-05 |
| 1619578374 | Ryan Nicole Kent | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-07 |
| 1700487626 | Dallas Barr | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-06 |
| 1487255451 | Melvina Yarngo | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-05 |
| 1659972784 | Jaleeyah Saunders | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-04 |
| 1043811227 | Johnett Gofargar | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-04 |
| 1326649898 | Dionna Johns | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-11-02 |
| 1912507963 | Kaitlyn Depietropolo | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| 1265032122 | Heather N Cunningham | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| 1336749217 | Jessica Mcalinden | Registered Nurse | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902271075 | Crayne & Smith Psychosocial Services,llp | Social Worker | 1848 Burlington Mount Holly Rd # 541, Westampton, NJ 08060-1068 | 2015-12-01 |
| 1043480999 | Angela Cs Boyd | Social Worker | 1848 Burlington Mount Holly Rd, # 541, Westampton, NJ 08060-1068 | 2008-03-06 |
| 1881208858 | Theresa Madison | Social Worker | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-09-07 |
| 1528687134 | Heather Lynn Conolly | Social Worker | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2020-04-14 |
| 1801425046 | Deserie M Thomas | Social Worker | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2020-04-08 |
| 1124668785 | Taylor Williams | Social Worker | 25 Ikea Dr, Westampton, NJ 08060-5115 | 2020-01-13 |
| 1740844703 | Evelina Skoblinski | Social Worker | 795 Woodlane Rd Ste 301, Westampton, NJ 08060-3832 | 2019-04-25 |
| 1730663410 | Violetta Scott | Social Worker | 25 Ikea Dr, Westampton, NJ 08060-5115 | 2018-09-19 |
| 1316439649 | Brianna Petrone | Social Worker | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-06-01 |
| 1376058727 | Bruce Edward Reese | Social Worker | 25 Ikea Dr, Westampton, NJ 08060-5115 | 2017-12-07 |
| Find all providers in WESTAMPTON | ||||
| City | WESTAMPTON |
| Zip Code | 08060 |
Please comment or provide details below to improve the information on SHANNON LEIGH GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.