Individual
JESSICA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17840 CUMBERLAND RD, NOBLESVILLE, IN 46060-5409
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 574-1254
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001545A
IN
1041C0700X
Clinical Social Worker
Primary
34006649A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000856350
ANTHEM BCBS
IN
Enumeration date
02/05/2014
Last updated
03/05/2026
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