Active NPI
Audrie A Gardner, LISW
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1093014375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1450757
- Practice address
- 7265 Kenwood Road
Suite 321
Cincinnati, OH 45236-4411 - Phone
- (513) 657-8718
- NPI assigned
- Mar 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1450757 | OH | Primary |
Addresses
Primary practice location
7265 Kenwood Road
Suite 321
Cincinnati, OH 45236-4411
Mailing address
7265 Kenwood Road
Suite 321
Cincinnati, OH 45236-4411
Phone (513) 657-8718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1450757 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1093014375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7265 KENWOOD ROAD",
"address_2": "SUITE 321",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364411",
"telephone_number": "513-657-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7265 KENWOOD ROAD",
"address_2": "SUITE 321",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364411",
"telephone_number": "513-657-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "AUDRIE",
"middle_name": "A",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-25",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1450757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.