Megan W. Gardner, MS, SSP, LPES

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4687 Issued in SC

Practice address

718 S 4TH St
Hartsville, SC 29550-5724

Phone

(843) 917-0495

NPI assigned

Mar 1, 2018

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Teresa Redfearn LLC

  dba Child and Family Resource Center

  • Clinical Psychologist
  • Hartsville, SC
  • NPI 1689038325
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1184126500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 RAYFIELD BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297096167",
            "telephone_number": "843-680-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505724",
            "telephone_number": "843-917-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MEGAN",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "MS, SSP, LPES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Gamble
• Charles Kelly Gandy, PHARM.D,
• Cydney B Gandy, FNP-BC
• Nancy Gandy
• Harrell Lee Gardner Jr., DMD
• William Preston Gaskins, RPH
• Fanika George-Steele
• Robin Hope Gibson, LPC, CAC1
• Global Care Project, Inc. (Koinonia Rural Family Medical Center)
• Edwin H Goranson, CRNA

• School Psychologist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• School Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.