Timia Jenell Gardner, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00001179 Issued in KY

Practice address

1365 Devonport Dr
Lexington, KY 40504-1552

Phone

(859) 229-8027

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Tracys Residential Re Entry Center Inc

  • Professional Counselor
  • Lexington, KY
  • NPI 1932823929
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1609596428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BRIDLE CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041619",
            "telephone_number": "859-536-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 DEVONPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041552",
            "telephone_number": "859-229-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TIMIA",
        "middle_name": "JENELL",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "00001179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beau Gardner
• Darius Japaul Gardner, CSFA
• Jamie Gardner, PHARM D
• Neven John Gardner, MD
• Ravynn Brooke Gardner
• Tanisha Garg
• Maggie Ann Garin, BSW
• Brian Garland, CPHT
• Kennedy Marie Garmon, APRN
• Courtney Garner, LCSW

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.