Active NPI
Judith Gardner, LISW
- Clinical Social Worker
- Akron, OH
National Provider Identifier
1184079113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0005291
- Practice address
- 87 N Canton Rd
Akron, OH 44305 - Phone
- (330) 733-7993
- Fax
- (330) 733-2242
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- 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 | I0005291 | OH | Primary |
Addresses
Primary practice location
87 N Canton Rd
Akron, OH 44305
Mailing address
87 N Canton Rd
Akron, OH 44305-3838
Phone (330) 733-7993
Other practice location 1
720 Portage Trl
Cuyahoga Falls, OH 44221-3035
Phone (330) 815-6032
Other practice location 2
628 W Market St
Akron, OH 44303-1415
Phone (330) 815-6032
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Guidance & Family Solutions | Past | Accepting new patients | |
| Greenleaf Family Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/greenleafctr/r4/
Organizations & group practices 2
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Akron, OH
- NPI 1922105147
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1255738456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1184079113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 N CANTON RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443053838",
"telephone_number": "330-733-7993",
"fax_number": "330-733-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 N CANTON RD",
"city": "AKRON",
"state": "OH",
"postal_code": "44305",
"telephone_number": "330-733-7993",
"fax_number": "330-733-2242"
}
],
"practiceLocations": [
{
"address_1": "720 Portage Trl",
"address_purpose": "LOCATION",
"city": "Cuyahoga Falls",
"state": "OH",
"postal_code": "442213035",
"country_code": "US",
"telephone_number": "330-815-6032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "628 W Market St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443031415",
"country_code": "US",
"telephone_number": "330-815-6032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "JUDITH",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0005291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.