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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275511792 NPPES
North Carolina Other D6513 MEDCOST
North Carolina Other 1205W MEDCOST
North Carolina MEDICAID 6002206 MEDCOST

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