Individual provider Active NPI

Alethea Gard'Ner, LCSW

  • Clinical Social Worker
  • Walnut Creek, CA
National Provider Identifier
1316304785
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29215 Issued in CA
Practice address
1910 Olympic Blvd Ste 260
Walnut Creek, CA 94596-5097
Phone
(925) 588-3948
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW29215 CA Primary
Clinical Social Worker 1041C0700X CSW003301 GA

Addresses

Primary practice location

1910 Olympic Blvd Ste 260
Walnut Creek, CA 94596-5097

Mailing address

1910 Olympic Blvd Ste 260
Walnut Creek, CA 94596-5097
Phone (925) 588-3948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29215CAMDClinical Social Worker
LCSW29215CAMDClinical Social Worker
CSW003301GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1316304785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD STE 260",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965097",
            "telephone_number": "925-588-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD STE 260",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965097",
            "telephone_number": "925-588-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD'NER",
        "first_name": "ALETHEA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29215",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.