Healthcare Provider Details

I. General information

NPI: 1144561911
Provider Name (Legal Business Name): CINDY L. GILBERT LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 11/22/2023
Certification Date: 12/14/2022
Deactivation Date: 10/23/2023
Reactivation Date: 11/22/2023

III. Provider practice location address

134 N 4TH ST
BROOKLYN NY
11249-3296
US

IV. Provider business mailing address

8907 BEACON AVE S
SEATTLE WA
98118-4834
US

V. Phone/Fax

Practice location:
  • Phone: 646-450-7748
  • Fax:
Mailing address:
  • Phone: 206-366-5213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number42912
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60446228
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: