Active NPI
Dan Clarence Gard, M.S.W.
- Clinical Social Worker
- Salina, KS
National Provider Identifier
1144263385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSCSW 577
- Practice address
- 809 Elmhurst Blvd
Salina, KS 67401-7405 - Phone
- (785) 823-6322
- Fax
- (785) 823-3019
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | LSCSW 577 | KS | Primary |
Addresses
Primary practice location
809 Elmhurst Blvd
Salina, KS 67401-7405
Mailing address
809 Elmhurst Blvd
Salina, KS 67401-7405
Phone (785) 823-6322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070536 | Other | KS | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0577 | KS | MD | Psychologist |
| LSCSW 577 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1144263385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ELMHURST BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "674017405",
"telephone_number": "785-823-6322",
"fax_number": "785-823-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ELMHURST BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "674017405",
"telephone_number": "785-823-6322",
"fax_number": "785-823-3019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARD",
"first_name": "DAN",
"middle_name": "CLARENCE",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LSCSW 577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "070536",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.