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

Justin Wade Gibson, LCSW, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508408105

Justin Wade Gibson, LCSW, LCASA is an Addiction (Substance Use Disorder) Counselor in Burgaw, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
2
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

309 Progress Dr
Burgaw, NC 28425-3280
Phone: (910) 259-0668
Fax: (910) 202-9966
Show map & directions

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

Additional practice locations (1)

  • 615 Shipyard Blvd, Wilmington, NC 28412 — (910) 343-0145

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C014663 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24725 (NC)

Record details

NPI number1508408105
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCASA
Sole proprietorYes
NPI enumeratedOctober 15, 2019
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

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