Active NPI
Deirdre Gardner
- Clinical Social Worker
- Essex, MD
National Provider Identifier
1629579487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23401
- Practice address
- 768 Seawall Rd
Essex, MD 21221-3939 - Phone
- (443) 839-3799
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 23401 | MD | Primary |
Addresses
Primary practice location
768 Seawall Rd
Essex, MD 21221-3939
Mailing address
768 Seawall Rd
Essex, MD 21221-3939
Phone (443) 839-3799
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23401 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1629579487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 SEAWALL RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212213939",
"telephone_number": "443-839-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 SEAWALL RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212213939",
"telephone_number": "443-839-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "DEIRDRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "23401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
- Joan Veronica Franks, CRNP
- Fresenius Medical Care Essex Dundalk, LLC
- Friends Research Institute, Inc.
- Friends Research Institute, Inc.
- Christine Jensen Galumbeck, LCPC
- Nakia Nicole Garris
- Gateway Treatment Services LLC
- Glass Health Programs, Inc.
- Glass Health Programs, Inc.
- Good Health Residential Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.