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

Mrs. Kellyanne Charlotte Gibson, LCSW-C

Individual provider Clinical Social Worker · NPI 1619071289

Mrs. Kellyanne Charlotte Gibson, LCSW-C is a Clinical Social Worker in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006

Practice location Address checks out

10 N Greene St
Baltimore, MD 21201-1524
Phone: (410) 605-7449
Fax: (410) 605-7731
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 13647 (MD)

Record details

NPI number1619071289
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedSeptember 12, 2006
Last updated in NPPESNovember 20, 2007

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