Provider Demographics
NPI:1972196962
Name:GARDINER, SARAH MARGARET (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARGARET
Last Name:GARDINER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CAROLINE ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3360
Mailing Address - Country:US
Mailing Address - Phone:518-572-0631
Mailing Address - Fax:
Practice Address - Street 1:1068 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:NY
Practice Address - Zip Code:12170-3432
Practice Address - Country:US
Practice Address - Phone:518-373-6100
Practice Address - Fax:518-373-6189
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110516-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical