JENNY GARDON, LICSW, INC. (NPI# 1871733691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871733691 |
| Entity Type | Organization |
| Organization Name | JENNY GARDON, LICSW, INC. |
| Practice Address |
753 N 35th St Office 304 Seattle WA 98103-8870 |
| Practice Telephone | 2066341642 |
| Mailing Telephone | 2066341642 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |
| Authorized Official Name | MS. JENNY GARDON (PRESIDENT) |
| Authorized Official Telephone | 2066341642 |
| Authorized Official Credential | MSW, LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | JENNY GARDON, LICSW, INC. | 753 N 35th St, Ofc 304, Seattle, WA 98103-8873 |
| Street Address |
753 N 35TH ST OFFICE 304 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609987536 | Judith R Gordon | Psychologist | 753 N 35th St, Suite 305, Seattle, WA 98103-8870 | 2006-08-31 |
| 1912433491 | Martha Hickey | Social Worker | 753 N 35th St, Suite 101, Seattle, WA 98103-8870 | 2017-05-03 |
| 1396295457 | Jade Elissa Roslan | Counselor | 753 N 35th St, Ste. 307, Seattle, WA 98103-8870 | 2016-10-12 |
| 1306211776 | Dr. Kellyn Misset Pllc | Clinic/Center | 753 N 35th St, Suite 104, Seattle, WA 98103-8870 | 2015-12-09 |
| 1073991576 | Sarah Heath | Counselor | 753 N 35th St, Suite 204, Seattle, WA 98103-8870 | 2015-05-15 |
| 1508200924 | Christine Kay Havens | Counselor | 753 N 35th St, Suite 204, Seattle, WA 98103-8870 | 2013-04-29 |
| 1821336728 | Joshua James Shideler | Chiropractor | 753 N 35th St, Suite 103, Seattle, WA 98103-8870 | 2013-01-28 |
| 1194071555 | Miriam Anna Mosley | Chiropractor | 753 N 35th St, Suite 103, Seattle, WA 98103-8870 | 2012-08-02 |
| 1982962528 | Sue Elaine Anderson | Social Worker | 753 N 35th St, Seattle, WA 98103-8870 | 2012-05-02 |
| 1851659619 | Irene Marion Michon | Counselor | 753 N 35th St, Suite 310, Seattle, WA 98103-8870 | 2012-04-30 |
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| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1265917520 | Lily Ewing Counseling, LLC | Clinic/Center | 11625 Rainier Ave S Ste 201, Seattle, WA 98178-3983 | 2018-10-02 |
| 1235633322 | Goodness & Grief Counseling, Pllc | Clinic/Center | 108 S Jackson St Ste 203, Seattle, WA 98104-2883 | 2018-03-22 |
| 1356761654 | Dominique Walmsley | Clinic/Center | 2329 N 62nd St, Seattle, WA 98103-5722 | 2014-04-25 |
| 1720419716 | University of Washington | Clinic/Center | 3935 University Way Ne, Box 355915, Seattle, WA 98195-5915 | 2013-12-02 |
| 1174143762 | Seattle Compassionate Counseling, Pllc | Clinic/Center | 1417 Nw 54th St Ste 438, Seattle, WA 98107-3561 | 2020-04-23 |
| 1801436480 | Megan Wagoner Psyd Pllc | Clinic/Center | 4860 Rainier Ave S Ste C, Seattle, WA 98118-6305 | 2020-01-10 |
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| 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.