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

Kelly Elizabeth Gardiner, LCSW-C

Individual provider Clinical Social Worker · NPI 1265268916

Kelly Elizabeth Gardiner, LCSW-C is a Clinical Social Worker in Fallston, Maryland. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2024

Practice location Address checks out

1716 Harford Rd Ste 204
Fallston, MD 21047-2699
Phone: (410) 877-7207
Fax: (410) 877-7224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 — (646) 453-6777

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27898 (MD)

Record details

NPI number1265268916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fallston