Christina Dayle Gardner, LCSW
Individual provider Active NPI Clinical Social Worker · Justice, IL
NPI 1508735259 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1508735259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.016048 (IL)
- Practice address
- 7670 S 88TH CT
Justice, IL 60458-1306 - Phone
- (708) 341-1195
- NPI assigned
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016048 | IL | MD | Clinical Social Worker |
| 2228186 | IL | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2228186 | IL | |
| Clinical Social Worker | 1041C0700X | 149.016048 | IL | Yes |
Addresses
Primary practice location
7670 S 88TH CT
Justice, IL 60458-1306
Mailing address
7670 S 88TH CT
Justice, IL 60458-1306
Phone (708) 341-1195
Other providers in Justice, IL
- Nyela Fisher-Malone
- Forest Counseling Service Inc
- Forest Hills Pharmacy Inc.
- Madhavi Gadde
- Christina Olivia Gainey
- Renee M Gezik
- Pamela Gill
- Grace Heals at Home L.L.C
- Gregory P Schubert DDS LTD
- Ranna Halim
All providers in Justice, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.