Beverly Ann Gardner-Nelson, LMSW-AP, LCDC, CCJP

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

06143 Issued in TX

Practice address

9000 Frey Rd
Houston, TX 77034-3506

Phone

(713) 851-5302

Fax

(281) 464-8683

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Beverly Ann Nelson Other name

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.

• Gardner House

  • Social Worker
  • Houston, TX
  • NPI 1144691239

  Counselor

  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1093865065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 BEAMER RD",
            "address_2": "APT. 245",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770893100",
            "telephone_number": "281-481-1774",
            "fax_number": "281-464-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FREY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770343506",
            "telephone_number": "713-851-5302",
            "fax_number": "281-464-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER-NELSON",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW-AP, LCDC, CCJP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "S06143",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5737",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "S06143",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "06143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "NELSON",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMSW-AP, LCDC, CCJP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fae Garden, MD
• Carolyn L Gardiner, M.D.
• Helena M Gardiner, M.D.
• Taylor Gardiner, PA
• Gardner House
• Doris Gardner-Wilson, LCSW, LCDC
• Alison E. Gardner, PHD, RN, CNS
• Amber L Gardner, FNP
• Amity L Gardner, DDS
• Calida Latonia Gardner, CNM

• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.