Felicia Gardner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04596300 Issued in NJ

Practice address

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263

Phone

(973) 479-5185

NPI assigned

Feb 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1164566691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HIGH ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101134",
            "telephone_number": "973-667-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-479-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "FELICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC04596300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04596300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M. Gallios, PSYD
• Senthamarai Gandhi, M.D
• Shrilekha Gandhi
• Colette Dawn Gandolfo, C.O.T.A
• Jayme Ganey, LPC
• Mary Grace Gayatinea, PT
• Enric Thomas Seno Gestopa
• Giancola Chiropractic
• Gina M Giancola, DC
• Melanie Glassman

• Clinical Social Worker in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.