Christopher Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6178-C Issued in NV

Practice address

695 Sierra Rose Dr
Reno, NV 89511-2060

Phone

(775) 453-4143

Fax

(775) 996-5616

NPI assigned

Jul 25, 2012

Sex

Male

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

• Chris Edwards Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1437405545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-453-4143",
            "fax_number": "775-996-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-453-4143",
            "fax_number": "775-996-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6490 S McCarran Blvd",
            "address_2": "Bldg C-26",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096165",
            "country_code": "US",
            "telephone_number": "775-448-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6178-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "EDWARDS",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iolanda Edsall, M.D.
• Edwards and Von Ravensberg, Prof. LLC
• Ashlee Rae Edwards, MSN, RN
• Brian Gregory Edwards, FNP
• Christine Edwards
• David Allen Edwards, MD
• Gerald Leonard Edwards, D.C.
• Jennifer Esquiro Edwards, M.D.
• Rebecca Hyde Edwards, APRN
• William M Edwards, MD

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.