Roshonna L Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C4313 Issued in MS

Practice address

103 Ridgecrest Dr
Lumberton, MS 39455-2159

Phone

(601) 796-9240

NPI assigned

Jun 6, 2011

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

Other names 1

• Roshonna L Prince Former name

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 and National Provider Directory roles.

• Bright Envisions Counseling and Consultant Services LLC

  • Clinical Social Worker
  • Lumberton, MS
  • NPI 1518622729

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1194019299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIDGECREST DR",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394552159",
            "telephone_number": "601-796-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIDGECREST DR",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394552159",
            "telephone_number": "601-796-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROSHONNA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C4313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSHONNA",
            "last_name": "PRINCE",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Academy Health Center,Inc.
• Baxterville School
• Bright Envisions Counseling and Consultant Services LLC
• Kerrie Davis, COTA
• Christopher D Elliott
• Vanessa Gibbs, FNP-BC
• Global Health Inc.
• Hattiesburg Clinic, PA
• Health Protect, PC

• Clinical Social Worker in Lumberton, MS
• Providers in Lumberton, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.