| Charles H. Gardner, Pllc | |
|
80 Exchange St Ste 502 Bangor ME 04401-7914 | |
| (207) 307-7966 | |
| Not Available |
| Full Name | Charles H. Gardner, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 80 Exchange St Ste 502, Bangor, Maine |
| Authorized Official Name and Position | Charles Gardner (OWNER/LCSW) |
| Authorized Official Contact | 2076314415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H. Gardner, Pllc 109 Mann Hill Rd Holden ME 04429-6228 Ph: () - | Charles H. Gardner, Pllc 80 Exchange St Ste 502 Bangor ME 04401-7914 Ph: (207) 307-7966 |
| NPI Number | 1518628916 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Medicare PECOS PAC ID | 6002208352 |
|---|---|
| Medicare Enrollment ID | O20220118000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518628916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Charles Harold Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790102093 PECOS PAC ID: 1951672955 Enrollment ID: I20170809003798 |
Pinetree Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 State St Ste 9, Bangor, ME 04401 Phone: 207-307-7119 Fax: 207-307-7129 | |
Robert Peddicord Phd Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Grove St, Bangor, ME 04401 Phone: 207-944-9315 | |
Greater Love Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 336 Mount Hope Ave Ste 14, Bangor, ME 04401 Phone: 207-561-0182 | |
Root & Rise Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 May St Ste 3, Bangor, ME 04401 Phone: 207-307-7704 Fax: 866-615-7655 | |
Catherine R Mikowski Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Grove St, Bangor, ME 04401 Phone: 231-645-5069 | |
Groundwork Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12 Stillwater Ave Ste 7, Bangor, ME 04401 Phone: 918-344-7844 | |
Bangor Family Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Ste 335, Bangor, ME 04401 Phone: 207-990-1555 Fax: 207-990-1555 |