Active NPIIndividual providerSole proprietor

Emma L Gardner, LICSW

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1366011074
Practice location
91 Green St # 101, Brattleboro, VT 05301-6329
Fax
—
Last updated
June 18, 2021

Emma Louise Gardner is a Social Worker, Clinical based in Brattleboro, VT. Emma Louise Gardner practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Emma Louise Gardner is 1366011074 and holds a License No. 0890132429 (VT). The current practice location address for Emma Louise Gardner is 91 Green St # 101, Brattleboro, VT 05301-6329 and can be reached out via phone at 802-777-8646.

Provider Profile Details

NPI Number
1366011074
Provider Name
Emma Louise Gardner
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
91 Green St # 101, Brattleboro, VT 05301-6329
Phone Number
802-777-8646
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 18, 2021
Last Update Date
June 18, 2021
Certification Date
June 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
91 Green St # 101
Brattleboro, VT 05301-6329
State
Vermont
Zip
05301-6329
Phone Number
802-777-8646
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
91 Green St # 101
Brattleboro, VT 05301-6329
City
Brattleboro
State
VT
Zip
05301-6329

License Information

License Number
0890132429
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emma L Gardner, LICSW?

The NPI number of Emma L Gardner, LICSW is 1366011074. It was assigned on June 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Emma L Gardner, LICSW?

Emma L Gardner, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890132429.

Where does Emma L Gardner, LICSW practice?

The practice location is 91 Green St # 101, Brattleboro, VT 05301-6329. The office can be reached at 802-777-8646 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366011074 directly on the NPPES registry website.

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