Elveta E. Gibson, LICSW, LCSW-C, LCSW
Social Worker, Clinical in Waldorf, MD. Individual provider (NPI-1).
NPI number1326322728
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1326322728
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elveta E. Gibson
- Credential
- LICSW, LCSW-C, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2011
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 13605 | MD | Yes |
| 1041C0700X | Social Worker, Clinical | 0904011817 | VA | |
| 1041C0700X | Social Worker, Clinical | LC50078409 | DC |
Practice location
605 Post Office Rd Ste 301Waldorf, MD 20602-1913
Phone 301-609-2988 · Fax 240-427-9250
Mailing address
605 Post Office Rd Ste 301Waldorf, MD 20602-1913
Phone 301-609-2988 · Fax 240-427-9250
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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