James Stephen Edwards in Kokomo - Clinical

James Stephen Edwards - NPI 1811903941

James Stephen Edwards is a Clinical in Kokomo, Indiana. James Stephen Edwards practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Stephen Edwards is 1811903941. The last update date is 2007-07-08.

James Stephen Edwards's current location address is 1907 W. Sycamore Street, Kokomo, Indiana. You can contact this provider via phone number 7654565900 and fax number 7654565387. The mailing address for James Stephen Edwards is 1907 W. Sycamore Street, Kokomo, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name James Stephen Edwards
Address 1907 W. Sycamore Street, Kokomo, Indiana
Phone Number 7654565900
Fax Number 7654565387
Sole Proprietor N
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1811903941
Provider Enumeration Date 2006-07-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1907 W. Sycamore Street
City Kokomo
State Indiana (IN)
Post Code 469049010
Phone Number 7654565900
Fax Number 7654565387

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34002244A
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
343457 IN ANTHEM BX/BS ID NUMBER
11347475 IN CAQH ID NUMBER
2069517 IN CIGNA ID NUMBER
EDWAR-0013 IN COMPCARE ID NUMBER

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FAQs about James Stephen Edwards

What is the unique identification code assigned to James Stephen Edwards by the Centers for Medicare & Medicaid Services?

The James Stephen Edwards has been issued the NPI (National Provider Identifier) 1811903941. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where James Stephen Edwards's facilities are situated?

The facilities of James Stephen Edwards are physically located at the following address: 1907 W. Sycamore Street, Kokomo, IN, 469049010.

What is the James Stephen Edwards's specialty and taxonomy code?

The James Stephen Edwards's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811903941 to James Stephen Edwards?

The Centers for Medicare & Medicaid Services originally issued the 1811903941 to James Stephen Edwards on 2006-07-31.

When was the James Stephen Edwards's information last updated?

The James Stephen Edwards's information was last updated on 2007-07-08.

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