Provider Demographics
NPI:1386366425
Name:GIBBS-FRANCIS, NIA
Entity type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:GIBBS-FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 ROCK RIDGE LN APT D
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5135
Mailing Address - Country:US
Mailing Address - Phone:931-561-8108
Mailing Address - Fax:
Practice Address - Street 1:8300 OXON HILL RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4719
Practice Address - Country:US
Practice Address - Phone:301-749-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD288601041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool