Anita Renee Gardner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50077682 Issued in DC

Practice address

1900 Massachusetts Ave SE
Washington, DC 20003-2542

Phone

(202) 548-6512

Fax

(202) 548-6534

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

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

Other identifiers 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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1871757369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MASSACHUSETTS AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032542",
            "telephone_number": "202-548-6512",
            "fax_number": "202-548-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASSACHUSETTS AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032542",
            "telephone_number": "202-548-6512",
            "fax_number": "202-548-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANITA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50077682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024905300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ximara Garcia
• Ashley Gardella, LICSW
• Susan Piddington Gardella, CRNP
• Rebecca Marie Gardill, HHA
• Kristal Gardiner, FNP-C
• Belinda Gardner
• Chauntese Jamelle Gardner
• Chevala Gardner
• David Lance Gardner, MD
• Gabrielle Gardner

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.