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ELLEN JOAN GARDNER LICSW
NPI 1407991722
Social Worker - Clinical in Fitchburg, MA

Active since February 21, 2007
255 MAIN ST, FITCHBURG, MA 01420(978) 343-6957(978) 343-0449 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Joan Gardner Licsw NPPES

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

ELLEN JOAN GARDNER LICSW (NPI 1407991722) is an individual clinical provider in Fitchburg, Massachusetts, licensed in Massachusetts (1020831) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1407991722
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN JOAN GARDNERCredential: LICSW
Location Address255 MAIN STFitchburg, MA 01420-4331
Mailing Address41 Gifford DrWorcester, MA 01606-3536 · (508) 854-0617
Phone(978) 343-6957
Fax(978) 343-0449
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407991722 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 · 1020831
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.
255 MAIN ST, Fitchburg, MA 01420
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Other Identifiers 1

Medicare ID-Type UnspecifiedP06201MA · Medicare Provider

Other Providers at the Same Location NPPES 10

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

MICHAEL J. SCIABARRASI LICSW
Social Worker (Clinical)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-6957
MR. HOWARD C BLANK L.I.C.S.W.
Social Worker (Clinical)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-4695
MRS. MARTHA M FRANKLIN LMHC
Counselor (Mental Health)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-6957
DR. ELLEN TIBBY PSYD
Psychologist
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-6957
MS. DIANA M HAMILTON-ROUSSEAU MSW, LICSW
Social Worker (Clinical)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-6957
MRS. TINA MARIE CAPONE LICSW
Social Worker (Clinical)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-6957
MRS. LISA MARIE DEERY
Counselor (Mental Health)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 665-0025
MS. BETH ELLEN IRVING MSW, LICSW
Social Worker (Clinical)
255 MAIN ST
FITCHBURG, MA 01420
Worcester County (978) 343-6957

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 Ellen Gardner's NPI number?

The NPI number for Ellen Gardner is 1407991722. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Ellen Gardner located?

Ellen Gardner practices at 255 Main St, Fitchburg, MA 01420. The listed phone number is (978) 343-6957.

What is Ellen 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 Ellen Gardner was last updated on July 8, 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.