Provider Demographics
NPI:1952954687
Name:GIBALDI, BRIANNA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:
Last Name:GIBALDI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 CUTLASS AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2313
Mailing Address - Country:US
Mailing Address - Phone:609-709-3735
Mailing Address - Fax:
Practice Address - Street 1:1 STAFFORD AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3151
Practice Address - Country:US
Practice Address - Phone:609-709-3735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058570001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical