Healthcare Provider Details

I. General information

NPI: 1558079996
Provider Name (Legal Business Name): LAURA M GILBOW LSCSW, LMAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 SW MULVANE ST
TOPEKA KS
66606-1654
US

IV. Provider business mailing address

830 SW MULVANE ST
TOPEKA KS
66606-1654
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-6992
  • Fax:
Mailing address:
  • Phone: 785-270-4600
  • Fax: 785-270-4628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number160
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8046
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8046
License Number StateKS
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number06862
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: