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

MS. Jill B Gardner, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720530041

MS. Jill B Gardner, LCSW is a Clinical Social Worker in Bangor, Maine. Qualified in 2022, 4 years ago. Practices with Health Affiliates Maine, LLC, a 174-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

78 Larkin St Apt 2
Bangor, ME 04401-6214
Phone: (207) 478-7785
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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 LC23944 (ME)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LC6547 (ME)

Record details

NPI number1720530041
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 3, 2016
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Health Affiliates Maine, Llc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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