Provider Demographics
NPI:1114197449
Name:GARDNER, MARGARET JEAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JEAN
Last Name:GARDNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S RIVER RD STE B105
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-5704
Mailing Address - Country:US
Mailing Address - Phone:435-261-3322
Mailing Address - Fax:
Practice Address - Street 1:720 S RIVER RD STE B105
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-5704
Practice Address - Country:US
Practice Address - Phone:435-261-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5923932-35021041C0700X
UT5923932-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical