Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Allan Gardner, Jr, PHDLICSW

Individual provider Clinical Social Worker · NPI 1407819261

Dr. James Allan Gardner, Jr, PHDLICSW is a Clinical Social Worker in South Boston, Massachusetts. Qualified in 2002, 24 years ago. Practices with Handel Behavioral Health Services Inc, a 23-clinician group. Licensed in Massachusetts.

Years since qualifying
24
Licensed in
MA
In the registry since
2006
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Practice location Address checks out

58 Old Colony Ave
South Boston, MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
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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 106952 (MA)

Record details

NPI number1407819261
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDLICSW
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Handel Behavioral Health Services Inc — 23 clinicians
Accepts Medicare assignment Not indicated

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