Individual provider Active NPI

Ingrid Elise Edwards, LCSW

  • Clinical Social Worker
  • Monroeville, PA
National Provider Identifier
1154532232
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015317 Issued in PA
Practice address
500 Laurel Dr
Monroeville, PA 15146-1136
Phone
(412) 398-3578
Fax
(412) 373-3276
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015317 PA Primary

Addresses

Primary practice location

500 Laurel Dr
Monroeville, PA 15146-1136

Mailing address

522 Firethorne Drive
Monroeville, PA 15146-1617
Phone (412) 398-3578

Other identifiers 1

IdentifierTypeStateIssuer
101852362 0001MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ingrid.edwards@upmcdirect.com
Direct Messaging Address ingrid.edwards@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Advanced Practice Providers Clinical CurrentSince Jun 1, 2020 Accepting new patients
Upmc Advanced Practice Providers CurrentSince Jun 1, 2020 Accepting new patients
Children'S Community Care Current Accepting new patients
Ingrid Fulton-Edwards, LCSW Clinical Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 10055B
Pittsburgh, PA 15213
Phone (412) 864-0594

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

11279 Perry Hwy
Ste 450
Wexford, PA 15090

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1154532232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 FIRETHORNE DRIVE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461617",
            "telephone_number": "412-398-3578",
            "fax_number": "412-373-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUREL DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461136",
            "telephone_number": "412-398-3578",
            "fax_number": "412-373-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "INGRID",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101852362 0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ingrid.edwards@upmcdirect.com",
            "affiliation": "N",
            "address_1": "500 Laurel Dr",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151461136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ingrid.edwards@upmcdirect.com",
            "affiliation": "N",
            "address_1": "500 Laurel Dr",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151461136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.