Individual provider · Type 1 NPI

Eugene Orlando Gardner, LCSW-R

Clinical Social Worker · Malta, NY

NPI number 1063403772 Active

Practice location

5 Hemphill Place, Suite 121
Malta, NY 12020-4423

Call (518) 289-5072 Map

Fax (518) 289-5225

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0300131 (NY)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063403772

Eugene Orlando Gardner, LCSW-R's National Provider Identifier is 1063403772, issued on Nov 2, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Malta, NY. The record was last updated on Aug 30, 2023.