Provider Demographics
NPI:1548401730
Name:GILBERT, CHARLES PAUL II (MSW)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:PAUL
Last Name:GILBERT
Suffix:II
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 REIGERTS LN
Mailing Address - Street 2:
Mailing Address - City:ANNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17003-2120
Mailing Address - Country:US
Mailing Address - Phone:717-867-8335
Mailing Address - Fax:717-867-0340
Practice Address - Street 1:417 REIGERTS LN
Practice Address - Street 2:
Practice Address - City:ANNVILLE
Practice Address - State:PA
Practice Address - Zip Code:17003-2120
Practice Address - Country:US
Practice Address - Phone:717-867-8335
Practice Address - Fax:717-867-0340
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0129581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical