James Allan Gardner, Jr., PHD LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106952 Issued in MA

Practice address

58 Old Colony Ave
South Boston, MA 02127-2406

Phone

(617) 268-1700

Fax

(617) 268-1991

NPI assigned

Apr 11, 2006

Sex

Male

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 MA

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, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Handel Behavioral Health Services IncGroup PAC ID 6305285289, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Handel Behavioral Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, MA
  • NPI 1497353130
  Medicare reassignment Care Compare group NPD
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Medicare reassignment NPD
• Gregory S Handel, PHD

  • Psychologist
  • South Attleboro, MA
  • NPI 1184862229
  Medicare reassignment
• Tufts Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1053350306
  NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407819261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 OAK ST",
            "address_2": "CB6",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011359",
            "telephone_number": "617-268-1700",
            "fax_number": "617-268-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD COLONY AVE",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272406",
            "telephone_number": "617-268-1700",
            "fax_number": "617-268-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER, JR.",
        "first_name": "JAMES",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PHD LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Fisher
• Virginia Fitzgerald, MD
• Susan Flynn
• Molly Kate Foley
• Jennifer Francisco, PT, DPT
• Gavin Foundation
• Megan Gendron, DPT
• Christopher Gerrior
• Edward Vance Geschelin, DMD
• Michael J Gill, MD

• Clinical Social Worker in South Boston, MA
• Providers in South Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.