Individual
JASON R GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2601 SW 3RD ST UNIT 1A, TOPEKA, KS 66606-2438
(785) 270-4630
(785) 270-4628
Mailing address
2601 SW 3RD ST UNIT 1A, TOPEKA, KS 66606-2438
(785) 270-4630
(785) 270-4628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4419
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110661021
MEDICARE PTAN
KS
05
—
200962210B
—
KS
Enumeration date
07/09/2012
Last updated
12/16/2025
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