Provider Demographics
NPI:1801453725
Name:GIBBS, ELEANOR CARMEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:CARMEN
Last Name:GIBBS
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 1:1500 N GRANT ST STE N
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-1859
Mailing Address - Country:US
Mailing Address - Phone:720-383-7076
Mailing Address - Fax:
Practice Address - Street 1:111 LINCOLN AVENUE
Practice Address - Street 2:UNIT B
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80414
Practice Address - Country:US
Practice Address - Phone:720-383-7076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-27
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099279991041C0700X, 1041C0700X
COLSW.00099228261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical