Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Justin Wade Gibson, LCSW, LCASA

Clinical Social Worker in Burgaw, NC · enumerated 2019 · practices at Coastal Horizons Center Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508408105

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Registry record

Entity type Individual (Type 1)

Name Justin Wade Gibson

Credential LCSW, LCASA

Sex Male

Practice address Burgaw, NC, 28425

Phone (910) 259-0668

Fax (910) 202-9966

Enumeration date Oct 15, 2019

Last updated in NPPES Mar 1, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 24725 (NC) Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C014663 (NC) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
81-5150377	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Justin Gibson practice?

The practice location on file with NPPES is in Burgaw, NC. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Justin Gibson?

The National Provider Identifier (NPI) for Justin Gibson is 1508408105, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-01.