Individual provider · Type 1 NPI

Michael Timothy Gardner, LCSW

Clinical Social Worker · Knoxville, TN

NPI number 1609149210 Active

Practice location

5410 Homberg Dr, Suite 14
Knoxville, TN 37919-5031

Mailing address

6937 Sicilia Ln
Corryton, TN 37721-3538

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW0000004287 (TN)

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 1609149210

Michael Timothy Gardner, LCSW's National Provider Identifier is 1609149210, issued on Feb 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Knoxville, TN. The record was last updated on Feb 13, 2012.