Robert Justin Edmunds, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257284 Issued in KY

Practice address

600 US 31W Byp
Bowling Green, KY 42101-4906

Phone

(270) 782-0120

NPI assigned

Feb 15, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• K&G Counseling and Consulting, LLC.

  • Professional Counselor
  • Bowling Green, KY
  • NPI 1689309635

  Clinical

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1053176404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 CHARWOOD CIR APT 9",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182937",
            "telephone_number": "859-468-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014906",
            "telephone_number": "270-782-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "ROBERT",
        "middle_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastwood Dental PLLC
• Stevie Eaton
• Ebonie M Williams
• Lisa Reynolds Edge, M.D.
• Megan Ann Edlin, DO
• Carrie Edwards Malone, M.S., CCC-SLP
• Ashley Edwards, DPT
• Billy Tyler Edwards Jr., ATC
• Brianna Edwards, APRN
• Chloe Edwards, RBT

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.