Gardner, Karen
Gardner, Karen is an individual health care provider with primary practice located at 2516 Independence Blvd Suite 204, Wilmington NC 28412-2437. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gardner, Karen can be contacted via phone (910) 796-9969.Contact Information
Primary practice address
2516 Independence Blvd Suite 204
Wilmington NC 28412-2437
Phone: (910) 796-9969
Fax: (910) 796-0270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003319 | North Carolina |
Profile Details
| NPI number | 1275511792 |
|---|---|
| LBN Legal business name | Gardner, Karen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275511792 | NPPES |
| North Carolina | Other | D6513 | MEDCOST |
| North Carolina | Other | 1205W | MEDCOST |
| North Carolina | MEDICAID | 6002206 | MEDCOST |
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