Jeannette M. Gagliardi, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05332100 Issued in NJ

Legal business name

JEANNETTE M. GAGLIARDI, LCSW, LLC

Practice address

123 Egg Harbor Rd
Suite 202
Sewell, NJ 08080-9406

Phone

(856) 347-0445

Fax

(856) 228-1096

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeannette M Gagliardi, LCSWNPI 1780879452

Title

Clinical Social Worker

Phone

(856) 347-0445

Specialties & licenses 1

Addresses

Other names 1

• Turning Tides Counseling Associates Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeannette Marie Gagliardi, LCSW

  • Clinical Social Worker
  • Sewell, NJ
  • NPI 1780879452
  Authorized official Same address or phone

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1316327919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "SUITE 202",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-347-0445",
            "fax_number": "856-228-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD",
            "address_2": "SUITE 202",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809406",
            "telephone_number": "856-347-0445",
            "fax_number": "856-228-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE M. GAGLIARDI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "856-347-0445",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05332100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turning Tides Counseling Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jald Inc (Di Sabatino Physical Therapy)
• Susan Janeczek, D.O.
• Janine J Fabrizio LCSW Lcadc
• Nancy Jaskowak-Cresse, ANP-C
• James Javier, CRNP
• Jefferson University Radiology Associates, LLC (Jefferson Outpatient Imaging)
• Shakitta Denise Jefferson, MSN, CRNP, FNP-C
• Jeffrey a. Kimelman, DMD, PC
• John David Jennings, MD
• Joan M. Jerrido, DPM

• Clinical Social Worker in Sewell, NJ
• Providers in Sewell, 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 Jun 9, 2015; 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.