Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christina Gibbons, LICSW

Individual provider Clinical Social Worker · NPI 1063286672

Christina Gibbons, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Puerto Rico.

Years since qualifying
6
Licensed in
MN, PR
In the registry since
2023
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1150 Montreal Ave Ste 107
Saint Paul, MN 55116-2393
Phone: (651) 313-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 21239 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15788 (PR)

Record details

NPI number1063286672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Paul