Timia Jenell Gardner, CSW
Social Worker, Clinical in Lexington, KY. Individual provider (NPI-1).
NPI number1609596428
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1609596428
- Entity type
- Individual (NPI-1)
- Name
- Timia Jenell Gardner
- Credential
- CSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2022
- Certification date
- Dec 22, 2025
- Last updated
- Dec 22, 2025
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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 00001179 | KY | Yes |
Practice location
1365 Devonport DrLexington, KY 40504-1552
Phone 859-229-8027
Mailing address
2520 Bridle CtLexington, KY 40504-1619
Phone 859-536-0548
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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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