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

Mr. Eugene Orlando Gardner, LCSW-R

Individual provider Clinical Social Worker · NPI 1063403772

Mr. Eugene Orlando Gardner, LCSW-R is a Clinical Social Worker in Malta, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

5 Hemphill Pl Ste 121
Malta, NY 12020-4423
Phone: (518) 289-5072
Fax: (518) 289-5225
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R0300131 (NY)

Record details

NPI number1063403772
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESAugust 30, 2023

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