Kathryn Gardner is a Clinical in Ogden, Utah. Kathryn Gardner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Gardner is 1598771685. The last update date is 2014-11-18.
Kathryn Gardner's current location address is 2155 Grant Ave Apt 145, Ogden, Utah. You can contact this provider via phone number 8016443903 and fax number 8014090905. The mailing address for Kathryn Gardner is 2155 Grant Ave Apt 145, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Gardner |
|---|---|
| Address | 2155 Grant Ave Apt 145, Ogden, Utah |
| Phone Number | 8016443903 |
| Fax Number | 8014090905 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1598771685 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2014-11-18 |
Provider Mailing Address Detail
| Address | 2155 Grant Ave Apt 145 |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844011578 |
| Phone Number | 8016443903 |
| Fax Number | 8014090905 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 280494-3501 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67216 | UT | MEDICARE PTAN |
Post Comment/ Review Below
What is the Kathryn Gardner's unique identification number?
The Kathryn Gardner has been assigned the NPI (National Provider Identifier) Number 1598771685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kathryn Gardner located?
The Kathryn Gardner is located at 2155 Grant Ave Apt 145, Ogden, UT 844011578.
What is Kathryn Gardner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathryn Gardner's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Kathryn Gardner receive its 1598771685 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn Gardner was assigned its 1598771685 on 2006-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kathryn Gardner most recently updated or revised?
The information pertaining to Kathryn Gardner, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-18.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA