MICAH R GARDNER CDCA
NPI 1659839645
Case Manager/Care Coordinator in Ironton, OH

Q: What is Micah Gardner's NPI number?

The NPI number for Micah Gardner is 1659839645. It was assigned to this individual provider in the NPPES registry on March 8, 2019.

Q: What is Micah Gardner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Micah Gardner was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 08, 2019

700 PARK AVE, IRONTON, OH 45638(740) 532-1613(740) 532-1715 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2020, Feb 26, 2020, Mar 18, 2019 and 1 more (4 updates tracked since 2019).

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About Micah R Gardner Cdca NPPES

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

MICAH R GARDNER CDCA (NPI 1659839645) is an individual case manager/care coordinator provider in Ironton, Ohio, licensed in Ohio (CDCA.173007) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1659839645

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMICAH R GARDNERCredential: CDCA

Location Address700 PARK AVEIronton, OH 45638-1502

Mailing AddressPo Box 108Ironton, OH 45638-0108 · (740) 532-1613 · Fax (740) 532-1715

Phone(740) 532-1613

Fax(740) 532-1715

Sole ProprietorNo

Enumeration DateMarch 8, 2019

Last NPPES UpdateJuly 24, 20204 updates tracked since enumeration

NPPES CertifiedJuly 24, 2020

✔ NPI 1659839645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OH · CDCA.173007

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

700 PARK AVE, Ironton, OH 45638

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Other Identifiers 1

Medicaid0337903OH

Other Providers at the Same Location NPPES 20

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

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