George Garner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6127 Cedar Oaks Dr
Fulton, MO 65251-5956

Phone

(573) 826-0401

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1760060479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 CEDAR OAKS DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652515956",
            "telephone_number": "573-826-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 CEDAR OAKS DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652515956",
            "telephone_number": "573-826-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "GEORGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018042350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING",
            "identifier": "NA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fulton",
            "affiliation": "N",
            "address_1": "6127 Cedar Oaks Dr",
            "city": "Fulton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652515956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fulton Medical Center LLC (Fulton Medical Clinic)
• Fulton Residential, LLC (Churchill Terrace Assisted Living)
• Kyle Patrick Gabrielson
• Audrey Marie Gaines
• Linda Jill Gamlin, PT, ATC
• Kelsey Gash, ATC
• Linda Sue Gilmore
• Courtney Gragg
• Alexandra Gray
• Treysen Charles Edward Gray

• Clinical Social Worker in Fulton, MO
• Providers in Fulton, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.