Edgewood/Brookland Family Support Collaborative

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EDGEWOOD/BROOKLAND FAMILY SUPPORT COLLABORATIVE

Practice address

601 Edgewood St NE Ste 25
Washington, DC 20017-3314

Phone

(202) 832-9400

Fax

(202) 621-8617

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Ronald Edward Smith Jr.

Title

Chief Executive Officer

Phone

(202) 832-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1306572524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EDGEWOOD ST NE STE 25",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173314",
            "telephone_number": "202-832-9400",
            "fax_number": "202-621-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EDGEWOOD ST NE STE 25",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173314",
            "telephone_number": "202-832-9400",
            "fax_number": "202-621-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD/BROOKLAND FAMILY SUPPORT COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-832-9400",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Edgecombe
• Daquitta Edgerston
• Elizabeth A Edgerton, MD
• Jenee Edgerton, M.PSY.
• Kenneth Edgerton Jr., PROSTHETICSPECIALIST
• Florence Edi
• Marie Ediage
• Karen Marie Edick, M.S. ED. CCC-SLP
• Mestroy Edie
• Donna Lucile Edison, D.O.

• Case Management Agency in Washington, DC
• Providers in Washington, DC by specialty
• Case Management Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.