CHARLES H. GARDNER, PLLC
NPI 1518628916
Social Worker - Clinical in Bangor, ME

Q: What is Charles H. Gardner, PLLC's NPI number?

The NPI number for Charles H. Gardner, PLLC is 1518628916. It was assigned to this organization in the NPPES registry on January 7, 2022.

Q: What is Charles H. Gardner, PLLC's specialty?

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

Active since January 07, 2022

80 EXCHANGE ST STE 502, BANGOR, ME 04401(207) 307-7966 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Charles H. Gardner, Pllc NPPES

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

CHARLES H. GARDNER, PLLC (NPI 1518628916) is a healthcare organization registered as a clinical in Bangor, Maine and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Bangor and lists Charles Gardner, Owner/lcsw, as its authorized official.

NPPES Registry Identity

NPI1518628916

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCHARLES H. GARDNER, PLLC

Location Address80 EXCHANGE ST STE 502Bangor, ME 04401-7914

Mailing Address109 Mann Hill RdHolden, ME 04429-6228

Phone(207) 307-7966

Organization SubpartNo

Authorized OfficialCharles GardnerOwner/lcsw · (207) 631-4415

Enumeration DateJanuary 7, 2022

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1518628916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

80 EXCHANGE ST STE 502, Bangor, ME 04401

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Secondary Practice Location 1

Location 1139 State St Ste 2Bangor, ME 04401-5317 · Phone (207) 944-2069

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles H. Gardner, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles H. Gardner, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Gardner, LADC

Clinical Social Worker

NPI 1790102093

1012 UNION ST
Bangor, ME 04401

(207) 945-5247

✔ PECOS2.2 mi

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

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 Charles H. Gardner, PLLC's NPI number?

The NPI number for Charles H. Gardner, PLLC is 1518628916. It was assigned to this organization in the NPPES registry on January 7, 2022.

Where is Charles H. Gardner, PLLC located?

Charles H. Gardner, PLLC is located at 80 Exchange St Ste 502, Bangor, ME 04401. The listed phone number is (207) 307-7966.

What is Charles H. Gardner, PLLC's specialty?

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

Is Charles H. Gardner, PLLC enrolled in Medicare?

Yes. Charles H. Gardner, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles H. Gardner, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Charles H. Gardner, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles H. Gardner, PLLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.