Individual provider Active NPI

Edwana Cottman, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1164927448
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18783 Issued in MD
Practice address
100 E Carroll St # 101102
Salisbury, MD 21801-5422
Phone
(410) 630-7685
NPI assigned
Mar 28, 2018
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010387 VA
Clinical Social Worker 1041C0700X 18783 MD Primary

Addresses

Primary practice location

100 E Carroll St # 101102
Salisbury, MD 21801-5422

Mailing address

73 Market St
Onancock, VA 23417-4223
Phone (804) 657-7344

Other practice location 1

73 Market St
Onancock, VA 23417-4223
Phone (804) 657-7344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190326000507 MD Practitioner - Clinical Social Worker 2567702723 Reassigns benefits to 3 organizations
I20220906003187 VA Practitioner - Clinical Social Worker 2567702723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

Baltimore, MD 21224
Phone (323) 205-7088

100 E Carroll St
Salisbury, MD 21801-5422

200 E Vine St
Suite a
Salisbury, MD 21804-5531
Phone (410) 543-7162

73 Market St
Onancock, VA 23417-4223
Phone (804) 657-7344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
74.47
Promoting interoperability
92
Improvement activities
40
Cost
75.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010387VAMDClinical Social Worker
18783MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Feb 19, 2019 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Innovative Renewal Therapy Center LLC Clinical CurrentSince Jul 19, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 12, 2025 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Feb 19, 2019 Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

100 E Carroll St
#101102
Salisbury, MD 21801
Phone (410) 630-7685

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

73 Market St
Onancock, VA 23417
Phone (757) 257-6866

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1164927448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234174223",
            "telephone_number": "804-657-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST # 101102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-630-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Market St",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "234174223",
            "country_code": "US",
            "telephone_number": "804-657-7344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTMAN",
        "first_name": "EDWANA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.