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

Jeremiah D Gibbens, LCSW

Individual provider Clinical Social Worker · NPI 1669364527

Jeremiah D Gibbens, LCSW is a Clinical Social Worker in Greeneville, Tennessee. Qualified in 2020, 6 years ago. Practices with Frontier Health, a 69-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

401 Holston Dr
Greeneville, TN 37743-3127
Phone: (423) 639-1104
Fax: (423) 636-8365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8964 (TN)

Record details

NPI number1669364527
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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 Frontier Health — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greeneville