NPI Registry.org

Angela Elliott Gibbs

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANGELA ELLIOTT GIBBS12054247282021-01-10

Angela Elliott Gibbs is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205424728. Registration indicates Angela Elliott Gibbs is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Entity TypeIndividual
Provider NameMrs. Angela Elliott Gibbs L.C.S.W.
Practice Office Address560 E MAPLE ST
ROSEVILLE, IL US
Practice Office Telephone3093715933
Mailing Address560 E MAPLE ST
ROSEVILLE, IL 614739679 US
Business Telephone3093715933
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Social Worker Clinical
Behavioral Health & Social Service Providers
Social Worker
149.013578
IL
OPI Codes

© 2021 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162