Edward Paul Flores, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

COO2716 Issued in NC

Practice address

1396 Old Mill Circle
Sotile Psychological Associates, PLLC
Winston-Salem, NC 27103

Phone

(336) 765-3032

Fax

(336) 760-6977

NPI assigned

Jun 13, 2006

Sex

Male

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

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.

• Wayne M. Sotile, PH.D.

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1629001953
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1407899164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 NEWINGTON DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128672",
            "telephone_number": "336-765-3032",
            "fax_number": "336-760-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 OLD MILL CIRCLE",
            "address_2": "SOTILE PSYCHOLOGICAL ASSOCIATES, PLLC",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-3032",
            "fax_number": "336-760-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COO2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawana Fletcher-Harrison, CRNA
• Alison Jo Fletcher, M.D.
• Jessica Wallace Fletcher, M.A., CCC-SLP
• Noah Benjamin Fletcher, MD
• Catherine Anne Flores, PA-C
• Jeremy Roy Flores, CADC
• Kevin Christian Pineda Flores, CRNA
• Lori Sansone Flores, NP
• Carson Douglas Florkowski, MD
• Morgan Caroline Florkowski, DMD

• Clinical Social Worker in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.