Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renee Gibson, LCSW

Individual provider Clinical Social Worker · NPI 1962113613

Renee Gibson, LCSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Phone: (602) 230-7373
Fax: (602) 441-5836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2120 W Guadalupe Rd Ste 7-9, Mesa, AZ 85202-7366 — (480) 629-8577

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 22782 (AZ)

Record details

NPI number1962113613
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Denova Collaborative Health, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 143 clinicians in the practice; 12 are shown here.

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