Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisa Gardner

Individual provider Clinical Social Worker · NPI 1518319946

Alisa Gardner is a Clinical Social Worker in Costa Mesa, California. Qualified in 1986, 40 years ago. Practices with Integrative Behavioral Health and Medicine Inc, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

3151 Airway Ave T2
Costa Mesa, CA 92626-4607
Phone: (949) 438-2342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW18615 (CA)

Record details

NPI number1518319946
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2016
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Integrative Behavioral Health And Medicine Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Costa Mesa