Individual provider Active NPI

Christina Gardner, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1568551745
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001599 Issued in VA
Practice address
2924 Brook Rd
Children's Hospital
Richmond, VA 23220-1215
Phone
(804) 321-7474
Fax
(804) 228-5210
NPI assigned
Oct 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0904001599 VA Primary

Addresses

Primary practice location

2924 Brook Rd
Children's Hospital
Richmond, VA 23220-1215

Mailing address

2924 Brook Rd
Children's Hospital Credential Dept
Richmond, VA 23220-1215
Phone (804) 321-7474

Other identifiers 1

IdentifierTypeStateIssuer
008935611MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20091006000637 VA Practitioner - Clinical Social Worker 4486790342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001599VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Mar 7, 2021 Accepting new patients

Locations

2924 Brook Rd
Richmond, VA 23220
Phone (804) 321-7474

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568551745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "address_2": "CHILDREN'S HOSPITAL CREDENTIAL DEPT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-228-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "address_2": "CHILDREN'S HOSPITAL",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-228-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008935611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.