Active NPI
Morrondo Edwards-Roberts, LISW-S, LICDC-CS
- Clinical Social Worker
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW006960
- Practice address
- 735 Piedmont Ave NE
Atlanta, GA 30308-1416 - Phone
- (404) 588-4680
- NPI assigned
- Feb 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1302419 | OH | |
| Clinical Social Worker | 1041C0700X | CSW006960 | GA | Primary |
Addresses
Primary practice location
735 Piedmont Ave NE
Atlanta, GA 30308-1416
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
815 W Broad St Ste 350
Columbus, OH 43222-1464
Phone (614) 223-1532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160966 | Medicaid | OH |
Other names 1
- Morrondo Edwards-Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, GA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006960 | GA | MD | Clinical Social Worker |
| I.1302419 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On the Level Counseling Therapy & Training LLC | Clinical | Current | Accepting new patients |
| Signature Health Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Signature Health, Inc. | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680
5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
2829 Euclid Ave
Cleveland, OH 44115
Phone (216) 357-3131
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
815 W Broad St
Ste 350
Columbus, OH 43222
Phone (614) 223-1532
21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100
7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855
38882 Mentor Ave
Willoughby, OH 44094
38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Atlanta, GA
- NPI 1730705047
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1093089831
-
- Mental Health Counselor
- Garfield Heights, OH
- NPI 1679767289
-
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
-
- Infectious Disease Physician
- Columbus, OH
- NPI 1902422470
-
- Long Term Care Pharmacy
- Willoughby, OH
- NPI 1740502335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1023478609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PIEDMONT AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081416",
"telephone_number": "404-588-4680"
}
],
"practiceLocations": [
{
"address_1": "815 W Broad St Ste 350",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432221464",
"country_code": "US",
"telephone_number": "614-223-1532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS-ROBERTS",
"first_name": "MORRONDO",
"credential": "LISW-S, LICDC-CS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-25",
"last_updated": "2024-07-30",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1302419",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160966",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MORRONDO",
"last_name": "EDWARDS-ROBERTS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.