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

Mark J. Gibson, LCSW

Individual provider Clinical Social Worker · NPI 1215211008

Mark J. Gibson, LCSW is a Clinical Social Worker in Sutter Creek, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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

18 Bryson Dr
Sutter Creek, CA 95685-4118
Phone: (530) 210-2285
Fax: (530) 492-0902
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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 27742 (CA)

Record details

NPI number1215211008
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 28, 2011
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address18 Bryson Dr, Sutter Creek, CA 95685-4118

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