Provider Demographics
NPI:1174711048
Name:GIBSON, BARBARA WRAY (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:WRAY
Last Name:GIBSON
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 1:115 S. LACUMBRE LN
Mailing Address - Street 2:#200
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110
Mailing Address - Country:US
Mailing Address - Phone:805-563-4885
Mailing Address - Fax:805-569-0413
Practice Address - Street 1:115 S LA CUMBRE LN
Practice Address - Street 2:#200
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5102
Practice Address - Country:US
Practice Address - Phone:805-563-4885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 195671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical