Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Emerald Bridges Family Therapy, LLC

Organization Clinical Social Worker · NPI 1073966123

Emerald Bridges Family Therapy, LLC provides Clinical Social Worker services 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 Not confirmed with CMS for 10 years — call before visiting
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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