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

MS. Mary M Gibson, LCSWA, MSM

Individual provider Clinical Social Worker · NPI 1255093498

MS. Mary M Gibson, LCSWA, MSM is a Clinical Social Worker in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4822 Albemarle Road Suit 219
Charlotte, NC 28205-6668
Phone: (704) 914-7378
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence P015672 (NC)

Record details

NPI number1255093498
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , MSM
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

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