Edith a. Yoder, Mssa PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-0658 Issued in AZ

Legal business name

EDITH A. YODER, MSSA PC

Practice address

1536 E. Maryland Ave
Ste C101
Phoenix, AZ 85014-1470

Phone

(602) 266-2282

Fax

(602) 266-1171

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Edith A. Yoder, MSSANPI 1033180575

Title

President

Phone

(602) 266-2282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith A Yoder, MSSA, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1033180575
  Medicare reassignment Authorized official
• Jay L Lewis, PH.D.

  • Psychologist
  • Phoenix, AZ
  • NPI 1124088471
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1225580210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 E. MARYLAND AVE",
            "address_2": "STE C101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141470",
            "telephone_number": "602-266-2282",
            "fax_number": "602-266-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 E. MARYLAND AVE",
            "address_2": "STE C101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141470",
            "telephone_number": "602-266-2282",
            "fax_number": "602-266-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH A. YODER, MSSA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-266-2282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-0658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Edge
• Joshua Alexander Edgerly, PMHNP-BC
• Jose Edgington, MD
• Perry E Edinger, PA
• Leslie Diane Edison, DO
• Edmond L Baker Jr MD PC
• Alexandra Edmonds, LCSW
• Gregory Paul Edmonds, DDS
• James Edmonds
• Marcie Helene Edmonds, MC, LPC

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.