Individual provider Active NPI

Patricia Nancy Edwards, LMSW

  • Clinical Social Worker
  • West Branch, MI
National Provider Identifier
1184116519
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107698 Issued in MI
Practice address
1581 Fawn Lake Dr
West Branch, MI 48661-9074
Phone
(989) 701-6442
NPI assigned
Jun 1, 2018
Last updated
Feb 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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 6801107698 MI Primary

Addresses

Primary practice location

1581 Fawn Lake Dr
West Branch, MI 48661-9074

Mailing address

1581 Fawn Lake Dr
West Branch, MI 48661-9074
Phone (989) 701-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20201211000571 MI Practitioner - Clinical Social Worker 2668884834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Counseling Center, LLC Clinical CurrentSince Jun 7, 2024 Accepting new patients
Cromwell Consulting, LLC CurrentSince Mar 30, 2026 Accepting new patients
Creative Pathways Counseling, PLLC Clinical CurrentSince Oct 29, 2023 Accepting new patients

Locations

4106 Wilder Rd
Bay City, MI 48706
Phone (989) 402-5275

4771 2 Mile Rd
Ste A
Bay City, MI 48706
Phone (989) 778-2323

211 Newman St
Ste B25
East Tawas, MI 48730
Phone (989) 701-6442

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1184116519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 FAWN LAKE DR",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619074",
            "telephone_number": "989-701-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 FAWN LAKE DR",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619074",
            "telephone_number": "989-701-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PATRICIA",
        "middle_name": "NANCY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.