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

Individual provider Clinical Social Worker · NPI 1366011074

Emma Louise Gardner, LICSW is a Clinical Social Worker in Brattleboro, Vermont. Qualified in 2014, 12 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
12
Licensed in
VT
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

91 Green St # 101
Brattleboro, VT 05301-6329
Phone: (802) 777-8646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0890132429 (VT)

Record details

NPI number1366011074
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 18, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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