Connie P Edens is a Clinical in Leesburg, Virginia. Connie P Edens practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie P Edens is 1932209921. The last update date is 2007-09-10.
Connie P Edens's current location address is 102 Heritage Way Ne, Leesburg, Virginia. You can contact this provider via phone number 7037715168 and fax number 7037770170. The mailing address for Connie P Edens is 102 Heritage Way Ne, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie P Edens |
|---|---|
| Address | 102 Heritage Way Ne, Leesburg, Virginia |
| Phone Number | 7037715168 |
| Fax Number | 7037770170 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1932209921 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 102 Heritage Way Ne |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 201764544 |
| Phone Number | 7037715168 |
| Fax Number | 7037770170 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904004723 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 219058 | VA | ANTHEM AT ELMHC | |
| 293481 | VA | AMERIGROUP | |
| 219059 | VA | ANTHEM AT LEESBURG |
Post Comment/ Review Below
What is the unique provider identifier assigned to Connie P Edens?
The Connie P Edens has been issued the NPI (National Provider Identifier) 1932209921 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Connie P Edens is located?
The Connie P Edens is situated at the following address: 102 Heritage Way Ne, Leesburg, VA, 201764544.
What is Connie P Edens's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Connie P Edens is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did Connie P Edens receive its 1932209921 assignment?
The Connie P Edens was assigned its 1932209921 on 2006-09-22, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Connie P Edens most recently updated or revised?
The details related to Connie P Edens, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-10.