Jamal Gardner, LCSW-A
Social Worker in Charlotte, NC. Individual provider (NPI-1).
NPI number1154065142
StatusActive
Last updated in NPPESApr 25, 2022
Details
- NPI
- 1154065142
- Entity type
- Individual (NPI-1)
- Name
- Jamal Gardner
- Credential
- LCSW-A
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2022
- Certification date
- Apr 25, 2022
- Last updated
- Apr 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
6608 Wanderview LnCharlotte, NC 28214-1963
Phone 919-704-6758
Mailing address
6608 Wanderview LnCharlotte, NC 28214-1963
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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