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KELLY ELIZABETH GARDINER LCSW-C
NPI 1265268916
Social Worker - Clinical in Fallston, MD

Active since September 10, 2024PECOS Enrolled
1716 HARFORD RD STE 204, FALLSTON, MD 21047(410) 877-7207(410) 877-7224 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Elizabeth Gardiner Lcsw-c NPPES

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

KELLY ELIZABETH GARDINER LCSW-C (NPI 1265268916) is an individual clinical provider in Fallston, Maryland, licensed in Maryland (27898) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bethesda, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265268916
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ELIZABETH GARDINERCredential: LCSW-C
Location Address1716 HARFORD RD STE 204Fallston, MD 21047-2699
Mailing Address1716 Harford Rd Ste 204Fallston, MD 21047-2699 · (410) 877-7207 · Fax (410) 877-7224
Phone(410) 877-7207
Fax(410) 877-7224
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1265268916 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 MD · 27898
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.
1716 HARFORD RD STE 204, Fallston, MD 21047
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Other Names 1

Professional Name (2)Kelly Elizabeth Gardiner Lcsw-c

Secondary Practice Location 1

Location 16701 Democracy Blvd Ste 300Bethesda, MD 20817-7500 · Phone (646) 453-6777 · Fax (929) 596-7897

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Elizabeth Gardiner Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951880657
PECOS Enrollment IDI20260211003514
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Gardiner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Behavioral Health, LLC
3.1 mi
Community/Behavioral Health
407 E CHURCHVILLE RD STE 203
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
  • 122 clinicians in this Medicare group
NPI 1417723685 (410) 780-5203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

RACHEL CILIBERTI
Counselor (Mental Health)
1716 HARFORD RD STE 204
FALLSTON, MD 21047
Harford County (410) 877-7207

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 Kelly Gardiner's NPI number?

The NPI number for Kelly Gardiner is 1265268916. It was assigned to this individual provider in the NPPES registry on September 10, 2024. The provider is also known as Kelly Elizabeth Gardiner Lcsw-C.

Where is Kelly Gardiner located?

Kelly Gardiner practices at 1716 Harford Rd Ste 204, Fallston, MD 21047. The listed phone number is (410) 877-7207.

What is Kelly Gardiner's specialty?

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

Is Kelly Gardiner enrolled in Medicare?

Yes. Kelly Gardiner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Gardiner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gardiner reassigns Medicare benefits to Thrive Behavioral Health, LLC (Bel Air, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Gardiner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Gardiner was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.