Lisa R Gibson (NPI# 1922455195, PAC ID# 0749572790) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1922455195 |
| PAC ID by PECOS | 0749572790 |
| Professional Enrollment ID | I20160712001217 |
| Full Name | Lisa R Gibson |
| Organization Legal Name | MENTAL ILLNESS RECOVERY CENTER INC. |
| Address |
3809 Rosewood Dr Columbia SC 29205-3533 |
| Phone Number | 8037861844 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1658564562 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3809 Rosewood Dr, Columbia, SC 29205-3533 | 8037861844 | MENTAL ILLNESS RECOVERY CENTER INC. |
| Organization Legal Name | MENTAL ILLNESS RECOVERY CENTER INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth Wilson | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Wanielle T Greene | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Kristin L Remke Clary | Psychiatry | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Shameshia B Benton | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Alyssia C Woods | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Stephanie Butler | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Brooke Clover | Psychiatry | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Street Address |
3809 ROSEWOOD DR |
| City | COLUMBIA |
| State | SC |
| Zip | 29205-3533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth Wilson | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Wanielle T Greene | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Kristin L Remke Clary | Psychiatry | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Shameshia B Benton | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Alyssia C Woods | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Stephanie Butler | Clinical Social Worker | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Brooke Clover | Psychiatry | Mental Illness Recovery Center Inc. | 3809 Rosewood Dr, Columbia, SC 29205-3533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eleanya Ogburu-ogbonnaya | Neurology | 2601 Millwood Ave, Columbia, SC 29205-1218 | |
| Austin Kuhn | Clinical Social Worker | Midlands Neurology and Pain Assoc, Pa | 2601 Millwood Ave, Columbia, SC 29205-1218 |
| Preeth Achuthan Menon | Internal Medicine | Midlands Neurology and Pain Assoc, Pa | 2601 Millwood Ave, Columbia, SC 29205-1218 |
| Sharon E Williams | Clinical Social Worker | Midlands Neurology and Pain Assoc, Pa | 2601 Millwood Ave, Columbia, SC 29205-1218 |
| Keith J Jones | Clinical Social Worker | Midlands Neurology and Pain Assoc, Pa | 2601 Millwood Ave, Columbia, SC 29205-1218 |
| Lataya V Redfern | Chiropractic | Midlands Neurology and Pain Assoc, Pa | 2601 Millwood Ave, Columbia, SC 29205-1218 |
| Patrick Casey | Physical Therapy | Vertex Pt Specialists LLC | 2829 Millwood Ave, Columbia, SC 29205-1261 |
| Manya Jean Kenney | Physical Therapy | Vertex Pt Specialists LLC | 2829 Millwood Ave, Columbia, SC 29205-1261 |
| Elizabeth Wherley Regan | Physical Therapy | Vertex Pt Specialists LLC | 2829 Millwood Ave, Columbia, SC 29205-1261 |
| James W Floyd | Physical Therapy | Vertex Pt Specialists LLC | 2829 Millwood Ave, Columbia, SC 29205-1261 |
| Find all physicians in zip 29205 | |||
| City | COLUMBIA |
| Zip Code | 29205 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | COLUMBIA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lisa R Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.