Jenny Gardon, Licsw, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JENNY GARDON, LICSW, INC.

Practice address

753 N 35TH St
Office 304
Seattle, WA 98103-8870

Phone

(206) 634-1642

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jenny Gardon, MSW, LICSWNPI 1689753022

Title

President

Phone

(206) 634-1642

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny Gardon, MSW, LICSW

  • Clinical Social Worker
  • Seattle, WA
  • NPI 1689753022
  NPD (past) Authorized official
• Robin Sue Westby, M.S.W., LICSW

  • Clinical Social Worker
  • Everett, WA
  • NPI 1124160650
  NPD (past)

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1871733691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST",
            "address_2": "OFFICE 304",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038870",
            "telephone_number": "206-634-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 N 35TH ST",
            "address_2": "OFFICE 304",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038870",
            "telephone_number": "206-634-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY GARDON, LICSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "GARDON",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-634-1642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caeli Jennings, RN
• Emma Sinclair Jennings, LMHC
• Kellianne Marie Jennings, ARNP
• Patricia M Jennings, COTA/L
• Terese Leslie Jennings, M.D.
• Jensa Ferguson, LMHC, Inc. (Evolve Counseling Collective)
• Ryan Joseph Jense, M.D.
• Alyssa Jensen
• Audrey A Jensen, LMHC
• Blythe Anne Jensen, MSW

• Adult Mental Health Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.