Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

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: July 26, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Counselor (Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Nurse Practitioner (Psychiatric/Mental Health)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Student in an Organized Health Care Education/Training Program
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Registered Nurse (Psychiatric/Mental Health, Adult)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Social Worker (Clinical)
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127

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 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.

Where is James Gardner, Jr. located?

James Gardner, Jr. practices at 58 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-1700.

What is James Gardner, Jr.'s specialty?

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

Is James Gardner, Jr. enrolled in Medicare?

Yes. James Gardner, Jr. is registered in the Medicare PECOS enrollment system.

What insurance does James Gardner, Jr. accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list James Gardner, Jr. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Gardner, Jr. was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.