DR. JAMES ALLAN GARDNER, JR. PHD LICSW
NPI 1407819261
Social Worker - Clinical in South Boston, MA

Q: What is James Gardner, Jr.'s NPI number?

The NPI number for James Gardner, Jr. is 1407819261. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is James Gardner, Jr.'s specialty?

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

Active since April 11, 2006PECOS Enrolled

58 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-1700(617) 268-1991 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. James Allan Gardner, Jr. Phd Licsw NPPES

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

DR. JAMES ALLAN GARDNER, JR. PHD LICSW (NPI 1407819261) is an individual clinical provider in South Boston, Massachusetts, licensed in Massachusetts (106952) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407819261

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDR. JAMES ALLAN GARDNER, JR.Credential: PHD LICSW

Location Address58 OLD COLONY AVESouth Boston, MA 02127-2406

Mailing Address221 Oak St, Cb6Brockton, MA 02301-1359 · (617) 268-1700 · Fax (617) 268-1991

Phone(617) 268-1700

Fax(617) 268-1991

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 11, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1407819261 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 MA · 106952

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.

58 OLD COLONY AVE, South Boston, MA 02127

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Allan Gardner, Jr. Phd Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153376017

PECOS Enrollment IDI20050314001033

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 Reassignments

Medicare enrollment records show James Gardner, Jr. reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tufts Medical Center, Inc.

1.0 mi

General Acute Care Hospital

800 WASHINGTON ST
Boston, MA 02111

Reassigned Medicare billing, Massachusetts enrollment
74 clinicians in this Medicare group

NPI 1730132515 (617) 636-5000

Handel Behavioral Health Services Inc

25 mi

Mental Health (Including Community Mental Health Center)

2 MASTER DR STE 1A
Franklin, MA 02038

Reassigned Medicare billing, Massachusetts enrollment
40 clinicians in this Medicare group

NPI 1497353130 (978) 979-5261

Provider Profile

33 mi

Psychologist

200 MAY ST
South Attleboro, MA 02703

Reassigned Medicare billing, Massachusetts enrollment
3 clinicians in this Medicare group

NPI 1184862229 (508) 761-8500

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 02127 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 $63.72 – $189.86

Typical copayment $0.00 (range $15.93 – $47.46)

Most-billed visit code NA

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 15

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

MS. ROBERTA REICH L.M.H.C.

Counselor (Mental Health)