MR. MICHAEL TIMOTHY GARDNER (NPI# 1609149210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609149210 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL TIMOTHY GARDNER |
| Credential | LCSW |
| Practice Address |
5410 Homberg Dr Suite 14 Knoxville TN 37919-5031 |
| Mailing Address |
6937 Sicilia Ln Corryton TN 37721-3538 |
| Practice Telephone | 8655883178 |
| Mailing Telephone | 8653994033 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000004287 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSED CLINICAL SOCIAL WORKER | LSW0000004287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690548 | Michael Gardner | Dentist | 7127 Winterwood Ln, Highland, CA 92346-5434 | 2020-08-21 |
| 1497266001 | Michael K Gardner | Counselor | 7515 Greenville Ave Ste 1000, Dallas, TX 75231-3852 | 2017-10-23 |
| 1902203011 | Michael Gardner | Non-emergency Medical Transport (VAN) | 15114 Walden Park Ct, Houston, TX 77049-1789 | 2014-12-04 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1336299122 | Michael Gardner | Family Medicine | 633d Air Base Wing, Family Health Clinic, 77 Nealy Drive, Langley Afb, VA 23665 | 2007-01-12 |
| 1699798371 | Michael Raymond Gardner | Dentist | 1901 6th St Sw, Willmar, MN 56201-5104 | 2006-07-25 |
| 1497773774 | Michael Lee Gardner | Counselor | 4921 Royal Dr, Fort Worth, TX 76116-8827 | 2006-07-17 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1508866989 | Michael John Gardner | Chiropractor | 14 W Market St, Tiffin, OH 44883-2720 | 2005-07-28 |
| 1427410117 | Michael Winslow Gardner | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, S-553 Scaife Hall, Pittsburgh, PA 15213 | 2016-03-22 |
| Street Address |
5410 HOMBERG DR SUITE 14 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562757 | Laura Catharine Eddlemon | Social Worker | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2005-07-19 |
| 1992190359 | Chad M Phillips | Nurse Practitioner | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2015-04-02 |
| 1710231964 | Caitlin Hunt Greenwood | Nurse Practitioner | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2012-11-08 |
| 1477807113 | Irish Wendy Hinton | Counselor | 5410 Homberg Dr, Knoxville, TN 37919 | 2012-11-02 |
| 1477807188 | Kirk Duane Steele | Social Worker | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2012-11-01 |
| 1528322989 | Diane Cook Darby | Social Worker | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2012-06-30 |
| 1316115926 | Melissa M Stansberry | Social Worker | 5410 Homberg Dr, Ste 14, Knoxville, TN 37919-5031 | 2008-02-16 |
| 1528242146 | Lynda J Thompson | Counselor | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2007-12-18 |
| 1679690507 | Sarah P Weddington | Social Worker | 5410 Homberg Dr, Suite #14, Knoxville, TN 37919-5031 | 2007-03-24 |
| 1366580409 | Cheryl Ann Sinor | Social Worker | 5410 Homberg Dr, Suite 14, Knoxville, TN 37919-5031 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891334397 | Melissa Kay Schenkel | Social Worker | 1239 Eiker Rd, Knoxville, IL 61448-9670 | 2019-12-31 |
| 1013555770 | Carla L Jackson | Social Worker | 3518 Tupelo Way, Knoxville, TN 37912-4885 | 2019-12-12 |
| 1619514262 | Stephanie Demay | Social Worker | 3330 Sutherland Ave, Knoxville, TN 37919-4544 | 2019-12-03 |
| 1861956203 | Sarah Mcnamara | Social Worker | 117 Huxley Rd Ste B-3, Knoxville, TN 37922-3179 | 2019-01-30 |
| 1700360708 | Charles Steven Smith | Social Worker | 117 Huxley Rd Ste B3, Knoxville, TN 37922-3179 | 2018-09-17 |
| 1194231142 | Tiffany Lynn Ferree | Social Worker | 12201 W Kings Gate Rd, Knoxville, TN 37934-4631 | 2017-12-28 |
| 1932613940 | Hannah Snelling | Social Worker | 114 Dameron Ave, Knoxville, TN 37917-6435 | 2017-11-29 |
| 1508376120 | Robyn Amanda Summers | Social Worker | 10023 Dayflower Way, Knoxville, TN 37932-1697 | 2017-10-10 |
| 1952820896 | Balanced Solutions Pllc | Social Worker | 110 Perimeter Park Rd Ste H, Knoxville, TN 37922-2200 | 2017-09-12 |
| 1861866279 | Jennifer J Smith | Social Worker | 2210 Sutherland Ave Ste 115, Knoxville, TN 37919-2337 | 2015-11-23 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.