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

Mr. Charles H Gardner Jr., LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790102093

Mr. Charles H Gardner Jr., LADC is a Clinical Social Worker in Bangor, Maine. Qualified in 2014, 12 years ago. Licensed in Maine.

Years since qualifying
12
Licensed in
ME
In the registry since
2014
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1012 Union St
Bangor, ME 04401-3060
Phone: (207) 945-5247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence MC14888 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC 5014 (ME)

Record details

NPI number1790102093
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESJuly 24, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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