Individual provider · Type 1 NPI

Crysta B. Gardner

Clinical Social Worker · Moss Point, MS

NPI number 1811866239 Active

Practice location

4836 Main St
Moss Point, MS 39563-2700

Mailing address

PO Box 2555
Pascagoula, MS 39569-2555

Other practice locations

  • PO Box 2555, Pascagoula, MS 39569-2555 · (601) 207-3928

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC12225 (MS)
Clinical Social Worker 1041C0700X7015C (AL)

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 1811866239

Crysta B. Gardner's National Provider Identifier is 1811866239, issued on Nov 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moss Point, MS. The record was last updated on Sep 11, 2026.