Christina Edmonson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8851410 Issued in ID

Practice address

4066 Lucky LN
Lewiston, ID 83501-7025

Phone

(208) 790-0891

NPI assigned

May 8, 2023

Last updated

Apr 17, 2026By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1447940192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PATHFINDER WAY",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010749",
            "telephone_number": "208-790-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 LUCKY LN",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017025",
            "telephone_number": "208-790-0891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3211 Pathfinder Way",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835010749",
            "country_code": "US",
            "telephone_number": "208-790-0891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8851410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J. Dykstra, DO
• Dynamic Physical Therapy PLLC
• Eagle Healthcare Inc (The Orchards Care & Rehab)
• Eastgate Chiropractic Incorporated
• Cort Eckert, RN
• Madison Ashley Edwards, PHARMD
• Melanie T Eggleston, MD
• Janna Michelle Eide Toth, PHARMD
• Dustin Lee Elben, CRNA
• Benjamin Joseph Elger, LMSW-33031

• Clinical Social Worker in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.