| Kate Bradley Gardner, Lcsw, Llc | |
|
7 Old Sherman Tpke Ste 102 Danbury CT 06810-4174 | |
| (860) 374-3119 | |
| Not Available |
| Full Name | Kate Bradley Gardner, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7 Old Sherman Tpke Ste 102, Danbury, Connecticut |
| Authorized Official Name and Position | Kate Bradley Gardner (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8603743119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Bradley Gardner, Lcsw, Llc 7 Old Sherman Tpke Ste 102 Danbury CT 06810-4174 Ph: (860) 374-3119 | Kate Bradley Gardner, Lcsw, Llc 7 Old Sherman Tpke Ste 102 Danbury CT 06810-4174 Ph: (860) 374-3119 |
| NPI Number | 1891328373 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891328373 | NPI | - | NPPES |
| 282235 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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