Mr Michael Timothy Gardner, LCSW | |
5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | |
(865) 588-3178 | |
Not Available |
Full Name | Mr Michael Timothy Gardner |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 5410 Homberg Dr, Knoxville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609149210 | NPI | - | NPPES |
LSW0000004287 | Other | TN | LICENSED CLINICAL SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LSW0000004287 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 66 |
Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Timothy Gardner, LCSW 6937 Sicilia Ln, Corryton, TN 37721-3538 Ph: (865) 399-4033 | Mr Michael Timothy Gardner, LCSW 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 Ph: (865) 588-3178 |
Emma Eidson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Arthur St, Knoxville, TN 37921 Phone: 865-532-8695 | |
Josh Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Westfield Rd, Knoxville, TN 37919 Phone: 865-409-5001 | |
Hailey Schorsch, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6216 Lonas Dr, Knoxville, TN 37909 Phone: 865-951-1029 | |
Carla L Jackson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5645 Merchants Center Blvd, Knoxville, TN 37912 Phone: 865-257-9982 | |
Riann Joan-garbett Proctor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Stone Pony Ln, Knoxville, TN 37919 Phone: 319-270-7775 | |
Mr. Gerald Leonard Fried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6231 Highland Place Way Ste 101, Knoxville, TN 37919 Phone: 865-264-2400 Fax: 865-588-6406 | |
Anna M Krichinsky, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4639 Newcom Ave, Knoxville, TN 37919 Phone: 865-588-9766 Fax: 865-588-1476 |