Individual provider · Type 1 NPI

Susan Ellen Gardner, LCSW

Clinical Social Worker · Massapequa, NY

NPI number 1508079443 Active

Practice location

4250 Sunrise Hwy, Suite 103
Massapequa, NY 11758-5338

Fax (516) 797-7210

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR018985-1 (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 1508079443

Susan Ellen Gardner, LCSW's National Provider Identifier is 1508079443, issued on May 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massapequa, NY. The record was last updated on Jul 8, 2007.