D'Nae Johnson Gardner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59682 Issued in TX

Practice address

102 S Main St Ste C
Carlsbad, NM 88220-6207

Phone

(575) 249-2561

Fax

(325) 939-2019

NPI assigned

Mar 19, 2021

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)

Enrolled

State licenses

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1750967808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E TWOHIG AVE STE 600",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036433",
            "telephone_number": "325-944-2561",
            "fax_number": "325-939-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST STE C",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206207",
            "telephone_number": "575-249-2561",
            "fax_number": "325-939-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "D'NAE",
        "middle_name": "JOHNSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta C. Gallegos, M.D.
• Trey Galloway, CRNA
• Anthony Garcia
• Orlando Z Garcia
• Phillip Garcia
• Grace Garza, RN
• Kelsey J Garza
• Eileen M. Gatliffe, MS CCC-SLP
• Jimmy R. Gibson, LISW
• Yanira Gonzales

• Clinical Social Worker in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.