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

Individual provider Clinical Social Worker · NPI 1093803314

Jimmy R. Gibson, LISW is a Clinical Social Worker in Carlsbad, New Mexico. Licensed in Kentucky and New Mexico. Registered with an NPI since 2006.

Licensed in
KY, NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

302 N Main St
Carlsbad, NM 88220-5896
Phone: (575) 885-0956
Fax: (575) 234-9854
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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 X-07673 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1544 (KY)

Record details

NPI number1093803314
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESMarch 27, 2012

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