Kate Bradley Gardner, LCSW, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KATE BRADLEY GARDNER, LCSW, LLC

Practice address

7 Old Sherman Tpke Ste 102
Danbury, CT 06810-4174

Phone

(860) 374-3119

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Kate Bradley Gardner, LCSW

Title

Licensed Clinical Social Worker

Phone

(860) 374-3119

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1891328373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD SHERMAN TPKE STE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104174",
            "telephone_number": "860-374-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD SHERMAN TPKE STE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104174",
            "telephone_number": "860-374-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE BRADLEY GARDNER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-374-3119",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282235",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kategardnerlcsw@therapysecure.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "address_1": "7 Old Sherman Tpke Ste 102",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068104174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Danbury, CT
• Providers in Danbury, CT by specialty
• Adolescent and Children Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.