Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emerald Bridges Family Therapy, LLC

Organization Clinical Social Worker · NPI 1073966123

Emerald Bridges Family Therapy, LLC is a Clinical Social Worker in Independence, Iowa. Licensed in Iowa. Registered with an NPI since 2016.

Licensed in
IA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2349 Jamestown Ave Ste 5
Independence, IA 50644-9709
Phone: (563) 579-1181
Fax: (319) 332-1241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 007613 (IA)

Record details

NPI number1073966123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Nissen — Mental Health Therapist · (563) 579-1181
NPI enumeratedJuly 13, 2016
Last updated in NPPESJuly 13, 2016
Mailing address914 Oregon St, Waterloo, IA 50702-2509

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