Gardner, Jessica

Gardner, Jessica is an individual health care provider with primary practice located at 17840 Cumberland Rd , Noblesville IN 46060-5409. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gardner, Jessica can be contacted via phone (317) 574-1254.

Contact Information

Primary practice address
17840 Cumberland Rd Noblesville IN 46060-5409
Phone: (317) 574-1254
Fax: (317) 674-0060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006649A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001545A Indiana

Profile Details

NPI number 1598189946
LBN Legal business name Gardner, Jessica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2014
Last updated May 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598189946 NPPES
Indiana Other 000000856350 ANTHEM BCBS

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