Provider Demographics
NPI:1861539439
Name:GILBERT, MARGIE GAULDEN (MSW, LCSW, PIP)
Entity type:Individual
Prefix:MS
First Name:MARGIE
Middle Name:GAULDEN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MSW, LCSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3565 LORNARIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5246
Mailing Address - Country:US
Mailing Address - Phone:205-823-8449
Mailing Address - Fax:205-823-9918
Practice Address - Street 1:3565 LORNA RIDGE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-5246
Practice Address - Country:US
Practice Address - Phone:205-823-8449
Practice Address - Fax:205-823-9918
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0601-1666C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51512924GILOtherBLUE CROSS BLUE SHIELD