Individual provider Active NPI

Chalene Michelle Gardenhire, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1083067862
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005765 Issued in GA
Practice address
1230 Peachtree St NE FL 19
Atlanta, GA 30309-3574
Phone
(657) 400-5180
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111310 TX
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X CSW005765
Clinical Social Worker 1041C0700X CSW005765 GA Primary

Addresses

Primary practice location

1230 Peachtree St NE FL 19
Atlanta, GA 30309-3574

Mailing address

267 Langley Dr # 1001
Lawrenceville, GA 30046-6907
Phone (470) 202-8779

Other identifiers 1

IdentifierTypeStateIssuer
747634110BMedicaidGA

Other names 1

  • Ms. Chalene Michelle Lloyd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161202000534 GA Practitioner - Clinical Social Worker 4981984283 Reassigns benefits to 3 organizations
I20231218003244 TX Practitioner - Clinical Social Worker 4981984283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians

Practice addresses (Care Compare)

240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111310TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 23, 2022 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Texas Health Virtual Care Single Specialty CurrentSince Dec 8, 2023 Accepting new patients
Texas Health Virtual Care Single Specialty Current Accepting new patients
New York Medical Behavioral Health Services, P.C. Single Specialty CurrentSince Sep 24, 2024 Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

205 Hudson St
Fl 9
New York, NY 10013
Phone (631) 488-0609

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1083067862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 LANGLEY DR # 1001",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466907",
            "telephone_number": "470-202-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 PEACHTREE ST NE FL 19",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093574",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDENHIRE",
        "first_name": "CHALENE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "CSW005765",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747634110B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHALENE",
            "last_name": "LLOYD",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.