Princetta Ann Edwards, LCSW LIC CLINICAL SO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00765700 Issued in NJ

Practice address

1314 Park Ave
Ste 7
Plainfield, NJ 07060

Phone

(908) 755-3392

Fax

(908) 755-4768

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Regroup With Princetta's Behavioral Health Services,LLC

  dba Regroup Princetta's Behvaioral Health Services,LLC

  • Social Worker
  • Plainfield, NJ
  • NPI 1013246966
  Medicare reassignment NPD Authorized official
• Regroup Behavioral Health Services,PC

  • Clinical Social Worker
  • Plainfield, NJ
  • NPI 1164542718
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1215081385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "07023",
            "telephone_number": "908-755-3392",
            "fax_number": "908-755-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PARK AVE",
            "address_2": "STE 7",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-755-3392",
            "fax_number": "908-755-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PRINCETTA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW LIC CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00765700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jaye Duggan
• Ramata Dukuray
• Tanya Durr-Pulyado
• Ecclesia Health LLC
• Joann I Edwards
• Elegant Optical LLC
• Nneka Emekekwue
• Jacob Obiazo Emezua Jr., DC
• Epiphany Relationship and Family Counseling
• Epiphany Relationship and Family Counseling, LLC

• Clinical Social Worker in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.