Deborah Ann Gardner, LBSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802079351 Issued in MI

Practice address

13575 Lesure
Star Center, Inc
Detroit, MI 48227-3131

Phone

(313) 493-4410

Fax

(313) 493-4415

NPI assigned

May 18, 2011

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1639462088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 CORNELL ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803428",
            "telephone_number": "313-247-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 LESURE",
            "address_2": "STAR CENTER, INC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273131",
            "telephone_number": "313-493-4410",
            "fax_number": "313-493-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802079351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayna Marie Gardner-Gray, M.D.
• Daniel Gardner-Morin, LPN
• Alanna April Gardner, DOULA
• Antneisha Gardner
• Cait Lynn Gardner, DPT
• Jennifer Marie Gardner, MSW, LMSW
• Katherine Marilyn Gardner
• Katie Ellen Gardner, D.O.
• Latiffany Beth Gardner, CAREGIVER
• Laura Albachiara Gardner, OTRL

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.