Provider Demographics
NPI:1932394715
Name:DAME-GIBES, EMILY FRANCES (LMSW, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FRANCES
Last Name:DAME-GIBES
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 ARIANNA ST NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-2906
Mailing Address - Country:US
Mailing Address - Phone:269-873-7000
Mailing Address - Fax:
Practice Address - Street 1:1240 ARIANNA ST NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-2906
Practice Address - Country:US
Practice Address - Phone:269-873-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010893591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical