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

Phillip Gardner, LCSW

Individual provider Social Worker · NPI 1528651668

Phillip Gardner, LCSW is a Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
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

3900 Woodland Ave
Philadelphia, PA 19104-4551
Phone: (215) 823-5800
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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 CW023803 (PA)
Social Worker Taxonomy 104100000X · Licence SW136831 (PA)

Record details

NPI number1528651668
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

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