Individual provider Active NPI

Emma Louise Gardner, LICSW

  • Clinical Social Worker
  • Brattleboro, VT
National Provider Identifier
1366011074
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890132429 Issued in VT
Practice address
91 Green St # 101
Brattleboro, VT 05301-6329
Phone
(802) 777-8646
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0890132429 VT Primary

Addresses

Primary practice location

91 Green St # 101
Brattleboro, VT 05301-6329

Mailing address

91 Green St # 101
Brattleboro, VT 05301-6329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118001406 VT Practitioner - Clinical Social Worker 2567851249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inner Bridges CounselingGroup PAC ID 4183963747, 2 clinicians

Practice addresses (Care Compare)

167 Main St
Suite 207E
Brattleboro, VT 05301-3057
Phone (802) 777-8646

81 Belmont Ave
Brattleboro, VT 05301-6652
Phone (802) 579-1288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0890132429VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emma Gardner Counseling, LLC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Inner Bridges Counseling CurrentSince Mar 18, 2024 Accepting new patients

Locations

81 Belmont Ave
Brattleboro, VT 05301
Phone (802) 254-9071

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1366011074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GREEN ST # 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GREEN ST # 101",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016329",
            "telephone_number": "802-777-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "EMMA",
        "middle_name": "LOUISE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890132429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.