Active NPI
Christina Gardner, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1568551745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001599
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008935611 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001599 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.