Ms Jill B Gardner, LCSW is a
Social Worker - Clinical based in Bangor, Maine. Ms Jill B Gardner is licensed to practice in Maine (license number LC23944) and her current practice location is
78 Larkin St Apt 2, Bangor, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 478-7785.
NPI number for Ms Jill B Gardner is 1720530041 and her current mailing address is 78 Larkin St Apt 2, Bangor, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720530041.
Healthcare Provider's Profile
| Full Name | Ms Jill B Gardner |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 78 Larkin St Apt 2, Bangor, Maine |
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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: 1720530041
- Provider Enumeration Date: 11/03/2016
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Ms Jill B Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720530041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC6547 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC23944 (Maine) | 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. Ms Jill B 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 |
|---|
Ms Jill B Gardner, LCSW
78 Larkin St Apt 2,
Bangor, ME 04401-6214
Ph: (207) 478-7785 | Ms Jill B Gardner, LCSW
78 Larkin St Apt 2,
Bangor, ME 04401-6214
Ph: (207) 478-7785 |
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