Susan Ellen Gardner, LCSW Valid NPI

Individual provider · Clinical Social Worker · Massapequa, NY

NPI

1508079443

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

PR018985-1 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-07

Last updated

2007-07-08