Andrea Lea Gardner, LMSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-10766 Issued in NM

Practice address

151 S Walnut St Ste C6
Las Cruces, NM 88001-2617

Phone

(575) 527-5770

Fax

(575) 532-1928

NPI assigned

Jul 27, 2017

Last updated

Oct 1, 2019By the provider in NPPES

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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pines Health Services

  • Internal Medicine Physician
  • Caribou, ME
  • NPI 1942277819
  Medicare reassignment Care Compare group NPD
• Pines Health Services

  dba Washburn Health Center

  • Federally Qualified Health Center (FQHC)
  • Washburn, ME
  • NPI 1922449834

  Clinical

  NPD
• Darlin Inc Dba Horizon Services

  • Mental Health Counselor
  • Las Cruces, NM
  • NPI 1326080904
  NPD (past)
• Darlin Inc., Dba Horizon Services

  • Professional Counselor
  • Las Cruces, NM
  • NPI 1235589359
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1225552656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST STE C6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012617",
            "telephone_number": "207-447-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S WALNUT ST STE C6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012617",
            "telephone_number": "575-527-5770",
            "fax_number": "575-532-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANDREA",
        "middle_name": "LEA",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-10766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alida Gardea
• Mario Gardea
• Garden of Eden Home Care LLC
• Alexis Emily Gardenhire
• Alexis Rene Gardenhire
• Mauree Gardner
• Morgan Gardner, DPT
• Veronica Gardner
• Alexandra Garibay
• Karla R Garibay

• Clinical Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.