| Ms Lea Ann Gibson, LCSW | |
|
390 W 100 N, Ephraim, UT 84627-2131 | |
| (435) 283-4065 | |
| (435) 462-8407 |
| Full Name | Ms Lea Ann Gibson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 390 W 100 N, Ephraim, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205126653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 101Y00000X | Counselor | 70050273503 (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Counseling Center | 6305743618 | 5 |
| Entity Name | Central Utah Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639185424 PECOS PAC ID: 6305743618 Enrollment ID: O20031215000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lea Ann Gibson, LCSW 152 N 400 W, Ephraim, UT 84627-5549 Ph: (435) 283-8400 | Ms Lea Ann Gibson, LCSW 390 W 100 N, Ephraim, UT 84627-2131 Ph: (435) 283-4065 |
Jared Lynn Kummer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 152 N 400 W, Ephraim, UT 84627 Phone: 435-283-8400 | |
Lichelle Fewkes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 271 S Main St, Ephraim, UT 84627 Phone: 435-283-4690 | |
Rachel Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 West 700 South, Ephraim, UT 84627 Phone: 425-283-4690 Fax: 435-283-4689 | |
Brian J. Whipple, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 W 1st N, Ephraim, UT 84627 Phone: 435-283-4065 Fax: 435-283-5387 | |
Mr. Kristofer Lundeberg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 152 N 400 W, Ephraim, UT 84627 Phone: 435-283-8400 | |
Kami Lynne Brito, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 W 100 N, Ephraim, UT 84627 Phone: 435-283-8400 Fax: 435-283-8401 |