Christa Edolo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW00939 Issued in RI

Practice address

19 Valley Rd
Middletown, RI 02842-6306

Phone

(401) 841-8896

Fax

(401) 848-4192

NPI assigned

Dec 7, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child and Family Services of Newport County

  dba Child & Family (DBA)

  • Clinic/Center
  • Middletown, RI
  • NPI 1063425189
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1073796496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426306",
            "telephone_number": "401-841-8896",
            "fax_number": "401-848-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426306",
            "telephone_number": "401-841-8896",
            "fax_number": "401-848-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOLO",
        "first_name": "CHRISTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "LCSW00939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia J Eagleson, MED
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• Cecelia Glynn Echevarria
• Zachery C Edwards, OTD, OTR/L
• Lamis Elbstamey
• Casey Eldert, MD
• Emerald Springs Equine Services
• Empire Vision Center Inc (Vision World)

• Clinical Social Worker in Middletown, RI
• Providers in Middletown, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.