Active NPI
Emma Gulick, LMSW
- Social Worker
- Killingworth, CT
National Provider Identifier
1467201236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9778
- Practice address
- 176 Route 81
Killingworth, CT 06419-1478 - Phone
- (860) 996-8396
- NPI assigned
- May 15, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 9778 | CT | Primary |
Addresses
Primary practice location
176 Route 81
Killingworth, CT 06419-1478
Mailing address
107 Evening Star Dr
Naugatuck, CT 06770-3547
Phone (203) 763-9638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9778 | CT | MD | Social Worker |
Interoperability endpoints
- emma.gulick.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1467201236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 EVENING STAR DR",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067703547",
"telephone_number": "203-763-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 ROUTE 81",
"city": "KILLINGWORTH",
"state": "CT",
"postal_code": "064191478",
"telephone_number": "860-996-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULICK",
"first_name": "EMMA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "9778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killingworth, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.