Individual provider Active NPI

Ana Luz Gardner

  • Clinical Social Worker
  • Miramar, FL
National Provider Identifier
1780319558
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17816 Issued in FL
Practice address
6240 Miramar Pkwy
Miramar, FL 33023-3942
Phone
(954) 391-9972
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17816 FL Primary

Addresses

Primary practice location

6240 Miramar Pkwy
Miramar, FL 33023-3942

Mailing address

9606 NW 26TH PL
Sunrise, FL 33322-2741
Phone (754) 779-1454

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://nextstepcmh.com/ Next Step Community Health Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW17816FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Community Mental Health, Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

6240 Miramar Pkwy
Miramar, FL 33023
Phone (954) 391-9972

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1780319558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 NW 26TH PL",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222741",
            "telephone_number": "754-779-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233942",
            "telephone_number": "954-391-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANA LUZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nextstepcmh.com/",
            "affiliation": "Y",
            "affiliationName": "Next Step Community Health Center",
            "address_1": "6240 Miramar Pkwy",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330233942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.