Provider Demographics
NPI:1659796134
Name:GILBERT, ESTHER GRACE (LCSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:GRACE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:GILBERT
Other - Last Name:LITTRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:440 E PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1937
Mailing Address - Country:US
Mailing Address - Phone:215-219-8877
Mailing Address - Fax:
Practice Address - Street 1:440 E PLEASANT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1937
Practice Address - Country:US
Practice Address - Phone:215-219-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0123161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW012316OtherSTATE SOCIAL WORK LICENSE