| Theresa R Gibson, LMSW | |
|
156 S 3rd St, Rogers City, MI 49779-1710 | |
| (989) 255-3505 | |
| Not Available |
| Full Name | Theresa R Gibson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 156 S 3rd St, Rogers City, Michigan |
| 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 |
|---|---|---|---|
| 1942453519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801081687 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Michigan Community Mental Health Authority | 2264498005 | 13 |
| Entity Name | Northeast Michigan Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144378381 PECOS PAC ID: 2264498005 Enrollment ID: O20041203000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa R Gibson, LMSW 156 S 3rd St, Rogers City, MI 49779-1710 Ph: (989) 255-3505 | Theresa R Gibson, LMSW 156 S 3rd St, Rogers City, MI 49779-1710 Ph: (989) 255-3505 |
Laurie Mousseau, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 | |
Cathy O'brien, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 532 W Erie St, Rogers City, MI 49779 Phone: 989-734-5098 | |
Lindsay Humphrey, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390 | |
Meagan Elayn Florip, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 |