Angela Evelyn Gardner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-42766 Issued in MT

Practice address

902 Wyoming Ave
Billings, MT 59101-1637

Phone

(406) 839-3014

NPI assigned

Jan 14, 2020

Last updated

Jul 27, 2021By the provider in NPPES

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

Other identifiers 1

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1689214090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 BENJAMIN BLVD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591055458",
            "telephone_number": "406-839-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WYOMING AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011637",
            "telephone_number": "406-839-3014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010730",
            "country_code": "US",
            "telephone_number": "406-255-8415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANGELA",
        "middle_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-42766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689214090",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Gans, LCSW
• Michael Bruce Ganz, M.D.
• Andres Garcia, PHARMD
• Brittany Kay Garcia, LCPC
• Tina S Garcia, OT
• Grey Charles Gardner, DC
• Robin Garland, MS, APRN, CNS, ANP
• Alexander Garner, PA
• Tiffany Garner
• Madeleine Garren, M.D.

• Clinical Social Worker in Billings, MT
• Providers in Billings, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.