=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841313277
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARY FRANCES GILBERT LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2007
-----------------------------------------------------
Last Update Date | 05/02/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1614 CONTINENTAL ST STE B
-----------------------------------------------------
City | REDDING
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96001-1133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-241-5999
-----------------------------------------------------
Fax | 530-241-6541
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10688 DESCHUTES RD
-----------------------------------------------------
City | PALO CEDRO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 96073-8775
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-251-3875
-----------------------------------------------------
Fax | 530-241-6541
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 20533
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------