SALLY GARDNER MSW, LCSW
NPI 1124152467
Social Worker - Clinical in Portland, OR

Active since March 16, 2007
1725 SE TENINO ST, PORTLAND, OR 97202(502) 233-3042 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Gardner Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY GARDNER MSW, LCSW (NPI 1124152467) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L2258) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1124152467
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSALLY GARDNERCredential: MSW, LCSW
Location Address1725 SE TENINO STPortland, OR 97202-6751
Mailing Address1725 Se Tenino StPortland, OR 97202-6751 · (502) 233-3042
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1124152467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L2258
Definition
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.
1725 SE TENINO ST, Portland, OR 97202

Other Identifiers 1

Medicare UPIN85619000OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1725 SE TENINO ST, SUITE 203
PORTLAND, OR 97202
Psychologist (Counseling)
1725 SE TENINO ST, SUITE 203
PORTLAND, OR 97202
Marriage & Family Therapist
1725 SE TENINO ST
PORTLAND, OR 97202
Marriage & Family Therapist
1725 SE TENINO ST
PORTLAND, OR 97202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Gardner's NPI number?

The NPI number for Sally Gardner is 1124152467. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Sally Gardner located?

Sally Gardner practices at 1725 SE Tenino St, Portland, OR 97202. The listed phone number is (502) 233-3042.

What is Sally Gardner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Sally Gardner was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.