Angela Denise Wilson Gardner, is a
Social Worker - Clinical based in Goldsboro, North Carolina. Angela Denise Wilson Gardner is licensed to practice in North Carolina (license number C008442) and her current practice location is
218 Windsor Creek Pkwy Apt A, Goldsboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 736-8154.
NPI number for Angela Denise Wilson Gardner is 1316558174 and her current mailing address is 218 Windsor Creek Pkwy Apt A, Goldsboro, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316558174.
Healthcare Provider's Profile
| Full Name | Angela Denise Wilson Gardner |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 218 Windsor Creek Pkwy Apt A, Goldsboro, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316558174
- Provider Enumeration Date: 08/13/2020
- Last Update Date: 08/13/2020
Medical Identifiers
Medical identifiers for Angela Denise Wilson Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316558174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | C008442 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | C008442 (North Carolina) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C008442 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Denise Wilson Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angela Denise Wilson Gardner,
218 Windsor Creek Pkwy Apt A,
Goldsboro, NC 27534-8695
Ph: (919) 736-8154 | Angela Denise Wilson Gardner,
218 Windsor Creek Pkwy Apt A,
Goldsboro, NC 27534-8695
Ph: (919) 736-8154 |
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