Audray A Edwards, LCSW R ACSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R031622 Issued in NY

Practice address

16 Church Street
Second Floor
Cortland, NY 13045-2710

Phone

(607) 756-0870

NPI assigned

Dec 6, 2006

Sex

Female

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

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427117712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 25 IVY RIDGE ROAD",
            "address_2": "25",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132104132",
            "telephone_number": "315-478-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHURCH STREET",
            "address_2": "SECOND FLOOR",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452710",
            "telephone_number": "607-756-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "AUDRAY",
        "middle_name": "A",
        "credential": "LCSW R  ACSW  BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Dwy
• Early Intervention Program
• Charles Lee Eaton Jr., FNP
• Michaela Marie Eccleston
• Eckerd Corporation
• Barbara J Edwards
• Ahmed M Eldokla, MD
• Sarah P Elfstrom, LCSW
• Elite Dental & Denture, P.C.
• Tarek Y Elsafty, DDS

• Clinical Social Worker in Cortland, NY
• Providers in Cortland, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.