Individual provider · Type 1 NPI
Christine Renee Gardner, LCSW, LISW
Clinical Social Worker · Virgina Beach, VA
Practice location
256 North Witchduck Road, Suite G
Virgina Beach, VA 23462
Fax (574) 296-7560
Mailing address
5505 Larry Avenue
Virginia Beach, VA 23462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 34004406A (IN) |
| Clinical Social Worker Primary | 1041C0700X | 0904007527 (VA) |
| Clinical Social Worker | 1041C0700X | 34004406A (IN) |
| Clinical Social Worker | 1041C0700X | I9921 (OH) |
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…
About NPI 1801830773
Christine Renee Gardner, LCSW, LISW's National Provider Identifier is 1801830773, issued on Jun 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virgina Beach, VA. The record was last updated on Feb 12, 2014.