Individual provider Active NPI

Anne Duval Edge, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1295949410
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002206 Issued in VA
Practice address
1133 Jefferson Green Cir
Midlothian, VA 23113-4300
Phone
(804) 794-7777
Fax
(804) 794-7281
NPI assigned
May 9, 2007
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 0904002206 VA Primary

Addresses

Primary practice location

1133 Jefferson Green Cir
Midlothian, VA 23113-4300

Mailing address

12801 Iron Bridge Rd
Chester, VA 23831-1669
Phone (804) 768-0295

Other identifiers 1

IdentifierTypeStateIssuer
8904421MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090602000550 VA Practitioner - Clinical Social Worker 9931259561 Practice locations: Midlothian, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1133 Jefferson Green Cir
Midlothian, VA 23113-4300
Phone (804) 794-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904002206VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling, LLC Clinical PastSince Jul 10, 2018 Accepting new patients
Hope Counseling and Wellness PastSince Apr 1, 2003 Accepting new patients

Organizations & group practices 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1295949410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-768-0295",
            "fax_number": "804-717-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 JEFFERSON GREEN CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134300",
            "telephone_number": "804-794-7777",
            "fax_number": "804-794-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "ANNE",
        "middle_name": "DUVAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8904421",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.