Susan M Gardner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010821 Issued in VA

Practice address

313 E Broad St Ste 125
Richmond, VA 23219-1737

Phone

(044) 045-3588

NPI assigned

Jan 21, 2019

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Susan M Gardner LCSW LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1952283715
  NPD Authorized official
• The Mind Health Center, LLC

  • Clinical Social Worker
  • Henrico, VA
  • NPI 1336699461
  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1083188304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 LIBBIE MILL EAST BLVD APT 231",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302132",
            "telephone_number": "917-488-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E BROAD ST STE 125",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191737",
            "telephone_number": "044-045-3588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 W Grace St Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261834",
            "country_code": "US",
            "telephone_number": "804-442-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Matthew Gardner, MD
• Kimberly E Gardner, NP
• Kristy F Gardner
• Lorraine Klein Gardner, AU.D.
• Phuong Gardner
• William Graham Gardner, D.D.S.
• Shreya Garg, DO
• Rathna Garigipati, PHD
• Nicole Garland, LCSW
• Sarah Garland, LCSW

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.