MR. CHARLES H GARDNER JR. (NPI# 1790102093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790102093 |
| Entity Type | Individual |
| Full Name | MR. CHARLES H GARDNER JR. |
| Credential | LADC |
| Practice Address |
1012 Union St Bangor ME 04401-3060 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079455247 |
| Mailing Telephone | 2079455247 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC 5014 | ME | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | MC14888 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639521180 | Charles N Gardner | Physical Therapy Assistant | 1056 Mine 10 Rd, Beccaria, PA 16616-9716 | 2016-07-08 |
| 1992010227 | Charles Sperry Gardner | Psychiatry & Neurology | 409 Field Point Rd, Greenwich, CT 06830-7041 | 2010-08-11 |
| 1932237724 | Charles Henry Gardner | Chiropractor | 418 94th Ave N, St Petersburg, FL 33702-2522 | 2007-03-01 |
| 1396825980 | Charles Clifford Gardner Jr. | Surgery | 3420 Buckeye Run, Ft Wayne, IN 46814-8972 | 2006-10-17 |
| 1902316946 | Charles Jacob Gardner | Emergency Medicine | 1600 S 20th Ave, Safford, AZ 85546-4011 | 2017-10-04 |
| 1720417090 | Charles Joseph Gardner IIi | Nurse Anesthetist, Certified Registered | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2013-11-06 |
| 1801953831 | Charles Joseph Gardner | Chiropractor | 325 N Main St, Belton, TX 76513-3162 | 2007-01-02 |
| 1881763670 | Charles William Gardner Jr. | Family Medicine | 4401 Ford Ave, Suite 250, Alexandria, VA 22302-1473 | 2006-11-07 |
| 1659328656 | Charles Chesley Gardner | Kinesiotherapist | 1201 Broad Rock Blvd, Kt/pm&r/117, Richmond, VA 23249-0001 | 2006-05-27 |
| Street Address |
1012 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379596 | Tanya L Clement | Physical Therapist | 1012 Union St, Bangor, ME 04401 | 2006-03-09 |
| 1508488487 | Eben Andrew Jordan | Physician Assistant | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-13 |
| 1790307940 | Gloria Reid | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-11 |
| 1801418199 | Robbin League | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-11 |
| 1568084093 | Amy Alice Isabelle | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-05-06 |
| 1568091742 | Brittany Nicole Miller | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-08 |
| 1902435407 | Kristy L Higgins | Dental Hygienist | 1012 Union St, Bangor, ME 04401-3060 | 2020-04-06 |
| 1316571938 | Leann Marie Hindman | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2020-02-24 |
| 1912478926 | Porchia Waugh | Nurse Practitioner | 1012 Union St, Bangor, ME 04401-3060 | 2018-12-17 |
| 1437639150 | Elizabeth Kiser | Pharmacy Technician | 1012 Union St, Bangor, ME 04401-3060 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896312 | Savanna Rae Power | Social Worker | 1200 Ohio St., Bangor, ME 04402 | 2017-12-05 |
| 1265983290 | Alison S Mitchell | Social Worker | 61 Main St Ste 60, Bangor, ME 04401-6469 | 2016-10-14 |
| 1609210400 | Leroy Freeman Jr. | Social Worker | 32001 County Road 687, Bangor, MI 49013-9476 | 2013-04-23 |
| 1306141593 | Sean E Weber | Social Worker | 370 Harlow St, Bangor, ME 04401-4908 | 2011-01-19 |
| 1487975801 | Angela Madden | Social Worker | 444 Stillwater Avenue, Suite 204, Kidspeace National Centers of New England, Inc., Bangor, ME 04401 | 2010-06-21 |
| 1740470871 | Eric C Taylor | Social Worker | 88 Hammond, Suite 201, Bangor, ME 04401 | 2007-07-25 |
| 1275660979 | Manna Inc | Social Worker | 629 Main Street, Bangor, ME 04401 | 2007-02-28 |
| 1891855920 | Leta Myers | Social Worker | 263 State St Ste 23, Bangor, ME 04401-5438 | 2006-12-11 |
| 1902917198 | Carol Romeo Veits | Social Worker | 96 Harlow St Ste 221, Bangor, ME 04401 | 2006-08-31 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| Find all providers in BANGOR | ||||
Please comment or provide details below to improve the information on MR. CHARLES H GARDNER JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.