Provider Demographics
NPI:1477021400
Name:GILBERT, EMILIE G (LICSW)
Entity type:Individual
Prefix:
First Name:EMILIE
Middle Name:G
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:EMILIE
Other - Middle Name:G
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1909 COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-6151
Mailing Address - Country:US
Mailing Address - Phone:256-734-4688
Mailing Address - Fax:
Practice Address - Street 1:2014 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0464
Practice Address - Country:US
Practice Address - Phone:256-735-8152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5387C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical