Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Myrtho Waylon Gardiner, LCSW-R

Individual provider Clinical Social Worker · NPI 1689866394

Mr. Myrtho Waylon Gardiner, LCSW-R is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

55 W 125th St
New York, NY 10027-4516 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 686-7500
Fax: (212) 828-5272
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1689866394
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedAugust 16, 2007
Last updated in NPPESOctober 17, 2015

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