Mrs Angela Elliott Gibbs, LCSW is a 
Social Worker - Clinical based in Roseville, Illinois. Mrs Angela Elliott Gibbs is licensed to practice in Illinois (license number 149.013578) and her current practice location is 
560 E Maple St, Roseville, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(309) 371-5933.
NPI number for Mrs Angela Elliott Gibbs is 1205424728 and her current mailing address is 560 E Maple St, Roseville, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205424728.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mrs Angela Elliott Gibbs | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 560 E Maple St, Roseville, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1205424728
 - Provider Enumeration Date: 01/10/2021
 - Last Update Date: 01/10/2021
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Angela Elliott Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1205424728 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1041C0700X | Social Worker - Clinical  | 149.013578 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela Elliott Gibbs is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Mrs Angela Elliott Gibbs, LCSW 560 E Maple St, Roseville, IL 61473-9679 Ph: (309) 371-5933 | Mrs Angela Elliott Gibbs, LCSW 560 E Maple St, Roseville, IL 61473-9679 Ph: (309) 371-5933 | 
		
		 
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