Provider Demographics
NPI:1659457109
Name:GIBERMAN, VALERIE G (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:G
Last Name:GIBERMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 5TH AVE W
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4102
Mailing Address - Country:US
Mailing Address - Phone:828-697-7130
Mailing Address - Fax:
Practice Address - Street 1:722 5TH AVE W
Practice Address - Street 2:SUITE 102
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4102
Practice Address - Country:US
Practice Address - Phone:828-697-7130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC004089104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC135R5OtherBCBSNC
NC6002338Medicaid
NC135R5OtherBCBSNC