Individual provider Active NPI

Deborah Ann Gardner, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1538730973
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50180 Issued in TX
Practice address
6855 Communications Pkwy Ste 220
Plano, TX 75024-6152
Phone
(469) 588-5282
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50180 TX Primary

Addresses

Primary practice location

6855 Communications Pkwy Ste 220
Plano, TX 75024-6152

Mailing address

5739 FM 1461
McKinney, TX 75071-3058
Phone (817) 240-5589

Other practice location 1

5739 Fm 1461
McKinney, TX 75071-3058
Phone (817) 240-5589

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Plano Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50180TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony in the House Clinical Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1538730973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 FM 1461",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713058",
            "telephone_number": "817-240-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 COMMUNICATIONS PKWY STE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246152",
            "telephone_number": "469-588-5282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5739 Fm 1461",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750713058",
            "country_code": "US",
            "telephone_number": "817-240-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Plano",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6855 Communications Pkwy Ste 220",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750246152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.