Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristian Antionette Gibson-Ford, LCSW

Individual provider Clinical Social Worker · NPI 1841781119

Mrs. Kristian Antionette Gibson-Ford, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in Indiana and North Carolina.

Licensed in
IN, NC
In the registry since
2018
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3323 Cotton Press St
Raleigh, NC 27614-8675
Phone: (317) 507-6450
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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 C012286 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34006886A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence C012286 (NC)

Record details

NPI number1841781119
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 22, 2018
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

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