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General NPI Number Information
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NPI Number | 1003743659
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Entity Type | Organization
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Legal Business Name | ANGELA GIBSON, LCSW COUNSELING AND PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 13658 PLEASANT DR
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City | LARGO
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State | FL
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Zip | 33774-4126
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Country | US
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Telephone | 727-628-7449
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Fax | 727-628-7450
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Provider Business Mailing Address
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Address Line | 1901 ULMERTON RD. SUITE 625 #3016
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City | CLEARWATER
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State | FL
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Zip | 33762
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Country | US
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Telephone | 727-628-7449
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Fax | 727-628-7450
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELA J GIBSON
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Credential | LCSW
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Telephone | 727-628-7449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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