Jeanine Adersen Gardner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

139504-3502 Issued in UT

Practice address

151 E 5600 S Ste 308
Murray, UT 84107-8102

Phone

(801) 262-2400

NPI assigned

Feb 27, 2023

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1114626496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 W IRON GATE RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952814",
            "telephone_number": "801-916-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S STE 308",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078102",
            "telephone_number": "801-262-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JEANINE",
        "middle_name": "ADERSEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "139504-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzi Ann Garcia
• Vincent Garcia
• Amber Gardner
• Brittney Gardner, NP
• Gordon Paul Gardner
• Justin Gardner, PA-C
• Kristen Gardner, AGACDNP-BC
• Kyle Andrews Gardner, M.D.
• Megan Anne Gardner, M.A., CCC-SLP
• Scott C Gardner, PA-C

• Clinical Social Worker in Murray, UT
• Providers in Murray, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.