NPIMap

Organization Active NPI

Noreen Edwards Expressive Arts, Licensed Clinical Social Worker

  • Clinical Social Worker
  • Fortuna, CA
National Provider Identifier
1437684685
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW69665 Issued in CA
Legal business name
NOREEN EDWARDS EXPRESSIVE ARTS, LICENSED CLINICAL SOCIAL WORKER
Practice address
1100 Main St
Suite B
Fortuna, CA 95540-2150
Phone
(707) 725-6939
Fax
(707) 442-0239
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Mrs. Noreen L. Edwards, LCSWNPI 1487010567
Title
Owner/President
Phone
(707) 725-6939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW69665 CA Primary

Addresses

Primary practice location

1100 Main St
Suite B
Fortuna, CA 95540-2150

Mailing address

1100 Main St
Suite B
Fortuna, CA 95540-2150
Phone (707) 725-6939

National Provider Directory

National Provider Directory

Locations

1100 Main St
Ste B
Fortuna, CA 95540
Phone (707) 725-6939

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1437684685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST",
            "address_2": "SUITE B",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402150",
            "telephone_number": "707-725-6939",
            "fax_number": "707-442-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST",
            "address_2": "SUITE B",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402150",
            "telephone_number": "707-725-6939",
            "fax_number": "707-442-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOREEN EDWARDS EXPRESSIVE ARTS, LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-725-6939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW69665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.