Madison Lynn Edwards, MSW

Individual provider Active NPI School Social Worker · Bristol, FL

NPI 1003544644 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1003544644
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
2565430 (IL)
Practice address
10611 NW Sr 20
Bristol, FL 32321
Phone
(618) 318-3087
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2565430ILMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 2565430 IL Yes

Addresses

Primary practice location

10611 NW Sr 20
Bristol, FL 32321

Mailing address

53 Talon Dr
Crawfordville, FL 32327-2359
Phone (618) 318-3087

Other providers in Bristol, FL

All providers in Bristol, FL · School Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.