Individual provider Active NPI

Nancy J. Gardner, M.S.W.

  • Clinical Social Worker
  • Hopewell, NJ
National Provider Identifier
1073733077
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC 01832 Issued in NJ
Practice address
83 Princeton Avenue Suite 2B
Hopewell, NJ 08525
Phone
(609) 466-5757
NPI assigned
May 1, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC 01832 NJ Primary

Addresses

Primary practice location

83 Princeton Avenue Suite 2B
Hopewell, NJ 08525

Mailing address

83 Princeton Avenue Suite 2B
Hopewell, NJ 08525
Phone (609) 466-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000225 NJ Practitioner - Clinical Social Worker 2668419110 Practice locations: Hopewell, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC 01832NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073733077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PRINCETON AVENUE SUITE 2B",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "08525",
            "telephone_number": "609-466-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PRINCETON AVENUE SUITE 2B",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "08525",
            "telephone_number": "609-466-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "NANCY",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC 01832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, NJ

Sources for this page

Verify at the official NPI Registry.