Heather Nicole Gibson, LCSW, LCADC
NPI 1548706617ActiveIndividual· Social Worker, Clinical· Louisa, KY
Social Worker, Clinical (LCSW, LCADC) with Sondermind Provider Network LLC, practicing in Louisa, Kentucky. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1548706617 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LCADC |
| Sole proprietor | Yes |
| NPI issued | Jan 13, 2017 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 253890 | KY |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 164408 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IN); Practitioner - Clinical Social Worker (KY); Practitioner - Clinical Social Worker (OH); Practitioner - Clinical Social Worker (VA) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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All 58 clinical social workers in Louisa · All clinical social workers in Kentucky