Provider Demographics
NPI:1538461140
Name:GIBBINS-CROFT, LINDA CHARLINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CHARLINE
Last Name:GIBBINS-CROFT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 CAMINO DEL RIO S
Mailing Address - Street 2:STE 308
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3608
Mailing Address - Country:US
Mailing Address - Phone:619-807-1760
Mailing Address - Fax:
Practice Address - Street 1:2221 CAMINO DEL RIO S
Practice Address - Street 2:STE 308
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3608
Practice Address - Country:US
Practice Address - Phone:619-807-1760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical