Faith Marie Edgren, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

129244 Issued in WI

Practice address

2300 Ramsey St RM 117
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

NPI assigned

Oct 29, 2014

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

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1497150726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST RM 117",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Spring St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "WI",
            "postal_code": "539649068",
            "country_code": "US",
            "telephone_number": "608-296-2139",
            "fax_number": "608-396-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGREN",
        "first_name": "FAITH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven R Edelman, MA
• Eve Saucier Eder
• Hagen Elizabeth Edgar, MSW, LCSWA
• Dustin Todd Edge, PHARMD
• Jenny Campbell Edgemon, M.S., CCC-A
• Olivia Edinger
• Chris L. Edmonds, MSW, CMSW, LCSW
• Latina Sharisse Edmonds, MA, LPCA
• Lauryn Marissa Edmonds, PT, DPT
• Alecia Edmund

• Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.