Maureen Rena Edwards, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06147200 Issued in NJ

Practice address

25 Manor Dr Apt 7N
Newark, NJ 07106-3260

Phone

(201) 250-1373

NPI assigned

Apr 21, 2022

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maureen R. Edwards Professional name

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1417691833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W MOUNT PLEASANT AVE # 1138",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391701",
            "telephone_number": "862-234-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MANOR DR APT 7N",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063260",
            "telephone_number": "201-250-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MAUREEN",
        "middle_name": "RENA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06147200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "EDWARDS",
            "middle_name": "R.",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Izevbuwa O. Edokpolor
• Obunike O Edokwe, MD
• Cassandra Edouard, LCSW
• Jacquetta Edwards, O.D.
• Johnathan Edwards
• Tyanda Edwards
• Mercy K. Edziah, MS, RD, CDCES
• Eero Therapeutic Services LLC
• Lucy Ogechi Efobi, DNP
• Michele Anne Egarian, APN-C

• Clinical Social Worker in Newark, NJ
• Providers in Newark, 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 Nov 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.