Active NPI
Ana Luz Gardner
- Clinical Social Worker
- Miramar, FL
National Provider Identifier
1780319558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW17816
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW17816 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Community Mental Health, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1164056982
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.