Lisa May Edmondson in Knightdale - Clinical

Lisa May Edmondson - NPI 1265564645

Lisa May Edmondson is a Clinical in Knightdale, North Carolina. Lisa May Edmondson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa May Edmondson is 1265564645. The last update date is 2015-06-11.

Lisa May Edmondson's current location address is 106 Arbor Ridge Ct, Knightdale, North Carolina. You can contact this provider via phone number 9192104176 and fax number 8777574728. The mailing address for Lisa May Edmondson is 106 Arbor Ridge Ct, Knightdale, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa May Edmondson
Address 106 Arbor Ridge Ct, Knightdale, North Carolina
Phone Number 9192104176
Fax Number 8777574728
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1265564645
Provider Enumeration Date 2007-03-12
Last Updated Date 2015-06-11

Provider Mailing Address Detail

Address 106 Arbor Ridge Ct
City Knightdale
State North Carolina (NC)
Post Code 275459202
Phone Number 9192104176
Fax Number 8777574728

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C005608
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
6106593 NC --

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FAQs about Lisa May Edmondson

What is the Lisa May Edmondson's 1265564645?

The Lisa May Edmondson's NPI (National Provider Identifier) Number is 1265564645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Lisa May Edmondson's facilities are geographically located?

The facilities of Lisa May Edmondson are physically situated at the following location: 106 Arbor Ridge Ct, Knightdale, NC, 275459202.

What is the area of specialization for Lisa May Edmondson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa May Edmondson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did Lisa May Edmondson receive its 1265564645 assignment from the Centers for Medicare & Medicaid Services?

The Lisa May Edmondson was assigned its 1265564645 on 2007-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Lisa May Edmondson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lisa May Edmondson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-11.

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