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Kristina Pauline Gardella, MSW, LICSW

Individual provider Active NPI Clinical Social Worker · Moody Afb, GA

NPI 1154963528 · NPPES record last updated Jul 18, 2025

Key facts

NPI
1154963528
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC50081508 (DC)
Practice address
3280 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone
(229) 257-2778
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC50081508DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hedera Counseling Center Current
since Oct 27, 2024		 Accepting new patients

Locations

3280 Mitchell Blvd
Moody AFB, GA 31699
Phone (229) 257-2778

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50081508 DC Yes

Addresses

Primary practice location

3280 Mitchell Blvd
Moody Afb, GA 31699-1500

Mailing address

3280 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone (229) 257-2778

Other providers in Moody Afb, GA

All providers in Moody Afb, GA · Clinical Social Worker in Georgia

Sources for this page

Verify at the official NPI Registry.