MR. CHRISTOPHER WAYNE GIBSON (NPI# 1881163665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881163665 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER WAYNE GIBSON |
| Credential | CSW |
| Practice Address |
190 S Main St Ste B Centerville UT 84014-2839 |
| Practice Telephone | 8016148400 |
| Mailing Telephone | 8016148400 |
| Mailing Fax Number | 8016148300 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9414179-3502 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211092 | Christopher B Gibson | Dentist | 120 S Denton Tap Rd # 270a, Coppell, TX 75019-3297 | 2018-07-14 |
| 1669912598 | Christopher Gibson | Psychologist | 2810 Dorchester Dr, 17, Oklahoma City, OK 73120-4561 | 2017-02-25 |
| 1629462429 | Christopher Walter Gibson | Dentist | 3630 Hill Blvd Ste 101, Jefferson Valley, NY 10535-1503 | 2015-03-19 |
| 1245642784 | Christopher Gordon Gibson | Dentist | 270 Brauer Hl, Orthodontics Cb #7450, Chapel Hill, NC 27599-7450 | 2014-06-02 |
| 1811511629 | Christopher Charles Gibson | Pharmacist | 6204 Montgomery Rd, Cincinnati, OH 45213-1404 | 2020-06-08 |
| 1922501733 | Christopher Gibson | Internal Medicine | 1550 Sheridan Dr Ste 203, Lancaster, OH 43130-1380 | 2018-03-18 |
| 1023480324 | Christopher Raymond Gibson | Physician Assistant | 199 Reedsdale Rd, Milton, MA 02186-3926 | 2015-10-26 |
| 1477939452 | Christopher Gibson | Behavioral Analyst | 102 Westlake Dr, Suite 105, West Lake Hills, TX 78746-5394 | 2015-08-03 |
| 1578902276 | Christopher Michael Gibson | Pediatrics | 800 Washington St # 286, Floating Hospital for Children, Tufts Medical Center, Boston, MA 02111-1552 | 2013-06-17 |
| 1285929760 | Christopher Anthony Gibson | Chiropractor | 33400 13th Pl S, Federal Way, WA 98003-6357 | 2011-06-13 |
| Street Address |
190 S MAIN ST STE B |
| City | CENTERVILLE |
| State | UT |
| Zip Code | 84014-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511288 | Emily Wilcox | Nurse Practitioner | 190 S Main St Ste B, Centerville, UT 84014-2839 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
| 1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
| 1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
| 1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
| 1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
| 1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
| 1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
| 1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
| Find all providers in zip 84014 | ||||
| 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 |
|---|---|---|---|---|
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1922532761 | Barbara Rahe | Social Worker | 7970 Clyo Rd, Centerville, OH 45459-4835 | 2017-04-19 |
| 1790220838 | Jessie Lacasse | Social Worker | 88 West Main Street, Centerville, MA 02632 | 2016-12-28 |
| 1801341730 | Shawnmari Marshall-kaiser | Social Worker | 6784 Loop Rd Ste 207, Centerville, OH 45459-2161 | 2016-08-21 |
| 1932563749 | Heart To Heart Counseling, LLC | Social Worker | 539 Windsor Park Drive, Centerville, OH 45459-4112 | 2016-04-07 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1093851834 | Ellen Louise Queeney | Social Worker | 158 Scudder Bay Cir, Centerville, MA 02632-3345 | 2007-01-29 |
| 1912052325 | Paula Sue Gordy | Social Worker | 501 N 12th St, Suite 1, Centerville, IA 52544-1439 | 2007-01-24 |
| 1386729994 | Michael Lee Van Dam | Social Worker | 94 E Pages Ln, Suite A, Centerville, UT 84014-2216 | 2006-10-25 |
| 1255431011 | Ann Blunt Condon | Social Worker | 7 Woodvale Ln, Centerville, MA 02632-2220 | 2006-09-22 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 84014 |
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| 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.