Brijin R. Gardner, LSCSW, LCSW, RPT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3629 Issued in KS

Practice address

205 5TH Street
Leavenworth, KS 66048

Phone

(816) 589-1661

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720285877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 NW SIOUX DR",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523819",
            "telephone_number": "816-589-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 5TH STREET",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "816-589-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BRIJIN",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "LSCSW, LCSW, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3629",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006013370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chalisa Danyelle Gadt-Johnson, PH.D.
• Sara Rebekah Gallet
• Nene Gana
• Amanda Garcia
• Valeria Garcia, RN
• Christiane Helen Gardner, DPM
• Morgen Young Gardner, DDS
• Ariel Garrett, ED.S, LPC
• Anita Kay Gasparovic, RPH
• Gaston I. S. Diallo, MD, PA

• Clinical Social Worker in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.