Jamie Mitchell Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256899 Issued in KY

Practice address

119 S Sherrin Ave Ste 210
Louisville, KY 40207-3237

Phone

(502) 550-5266

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1144958745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "AUGUSTA",
            "state": "KY",
            "postal_code": "410021039",
            "telephone_number": "502-550-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S SHERRIN AVE STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073237",
            "telephone_number": "502-550-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Main St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "KY",
            "postal_code": "410021039",
            "country_code": "US",
            "telephone_number": "502-550-5266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMIE",
        "middle_name": "MITCHELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney E Edwards, M.A., CCC-SLP
• Darwin Keith Edwards, M.D.
• Gregg Edwards, MASTERS DEGREE
• Hollis Veronica Edwards, APRN
• Ingrid Edwards, AUDIOLOGIST
• Jan Elizabeth Edwards, LMFT
• Joseph Francis Edwards, PSY.D.
• Julia Edwards, PHARM.D.
• Kenneth T Edwards Jr., LCSW
• Maiyania Edwards

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, 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 Sep 1, 2022; 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.