Justin Wade Gibson LCSWA, LCASA

  • NPI 1508408105
According to our database, the NPI number for Justin Wade Gibson LCSWA, LCASA is 1508408105 and activated since 4 years ago. Justin Wade Gibson LCSWA, LCASA is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 309 Progress Dr, Burgaw, NC 28425. You can also contact Justin Wade Gibson LCSWA, LCASA via telephone number is (910) 259-0668. Provider NPI information was last updated on 01/27/2021.

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Overview of Justin Wade Gibson LCSWA, LCASA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/15/2019
  • Last updated: 01/27/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 24725
  • License State: NC

Provider Mailing Address

  • Address: 615 Shipyard Blvd
    Wilmington, NC 28412
  • Phone: 910-343-0145
  • Fax: 910-202-9966

Provider Practice Location

  • Address: 309 Progress Dr
    Burgaw, NC 28425
  • Phone: 910-259-0668
  • Fax: 910-202-9966

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: P013234
  • License State: NC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 81-5150377
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NC
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Justin Wade Gibson LCSWA, LCASA?
  • A: The npi number for Justin Wade Gibson LCSWA, LCASA is 1508408105.
  • Q: What are Justin Wade Gibson LCSWA, LCASA's specialties?
  • A: Justin Wade Gibson LCSWA, LCASA's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Justin Wade Gibson LCSWA, LCASA?
  • A: The medical license number for Justin Wade Gibson LCSWA, LCASA is 24725 and issued in NC in USA.
  • Q: Where is Justin Wade Gibson LCSWA, LCASA practice location?
  • A: Justin Wade Gibson LCSWA, LCASA is practicing at 309 Progress Dr, Burgaw, NC 28425.
  • Q: How to contact Justin Wade Gibson LCSWA, LCASA?
  • A: You can contact Justin Wade Gibson LCSWA, LCASA via 910-259-0668.
Medicare Specialty
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.