James Douglas (Doug) Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009803 Issued in NC

Practice address

1213 Culbreth Dr
Wilmington, NC 28405-3639

Phone

(217) 433-6109

Fax

(910) 386-4523

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John Herington, PC

  • Clinical Social Worker
  • Decatur, IL
  • NPI 1598869588
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1568520245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 KILARNEY CT",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284252985",
            "telephone_number": "217-433-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053639",
            "telephone_number": "217-433-6109",
            "fax_number": "910-386-4523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16249 US Highway 17 N",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284437311",
            "country_code": "US",
            "telephone_number": "217-433-6109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Campbell St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255011",
            "country_code": "US",
            "telephone_number": "910-259-5721",
            "fax_number": "910-259-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1437 Military Cutoff Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284033638",
            "country_code": "US",
            "telephone_number": "910-444-4771",
            "fax_number": "910-447-4421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS (DOUG)",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-006656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE LICENSURE",
            "identifier": "C009803",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "149-006656",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Education and Energy Coaching With Horses and Others
• Edward L. Paul, Jr., O.D., PH.D., P.a.
• Candace Edwards Lafon
• Caroline Elizabeth Edwards, LCSW
• George Kevin Edwards, MA LPA
• Joanna Edwards
• Kimberly Reynolds Edwards, MD
• Macie Adele Edwards
• McKenzi Ellis Edwards
• Patrick Scott Edwards, MD

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.