Provider Demographics
NPI:1841313277
Name:GILBERT, MARY FRANCES (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:FRANCES
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10688 DESCHUTES RD
Mailing Address - Street 2:
Mailing Address - City:PALO CEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:96073-8775
Mailing Address - Country:US
Mailing Address - Phone:530-251-3875
Mailing Address - Fax:530-241-6541
Practice Address - Street 1:1614 CONTINENTAL ST
Practice Address - Street 2:STE B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1133
Practice Address - Country:US
Practice Address - Phone:530-241-5999
Practice Address - Fax:530-241-6541
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA205331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ51845Medicare UPIN
CAZZZ02853ZMedicare ID - Type Unspecified