Mya Gardner, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019387 Issued in NC

Practice address

300 Mooresville Rd
Kannapolis, NC 28081-0304

Phone

(704) 920-1199

Fax

(704) 445-7508

NPI assigned

Dec 1, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Public Health Authority of Cabarrus County

  • Health Educator
  • Kannapolis, NC
  • NPI 1467345397
  NPD (past)
• Public Health Authority of Cabarrus County

  • State or Local Public Health Clinic/Center
  • Kannapolis, NC
  • NPI 1649331638
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1043086895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORESVILLE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810304",
            "telephone_number": "704-920-1000",
            "fax_number": "704-934-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOORESVILLE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810304",
            "telephone_number": "704-920-1199",
            "fax_number": "704-445-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Cabarrus Ave W",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280276259",
            "country_code": "US",
            "telephone_number": "704-920-1199",
            "fax_number": "704-445-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MYA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Gallardo-Arriaga
• Vernice Dolores Gallon Clyburn, LRT/CTRS
• Seanna L. Gamble, MSW, LCSW
• Robert Gamler, RPH
• Joanne Garay
• Maryalice O Garrison
• Genesis Family Home
• Alyssa Danielle Genova, PT, DPT
• Bobby Edward Gibbs, DDS
• Reginald M Gilkesson

• All providers in Kannapolis, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.