Elliot Edgar, LLMSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116492 Issued in MI

Practice address

102 W Hewitt Ave
Marquette, MI 49855-3533

Phone

(906) 365-3255

NPI assigned

Sep 23, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rainbow Edgar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1588577480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W HEWITT AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553533",
            "telephone_number": "906-231-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W HEWITT AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553533",
            "telephone_number": "906-365-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "ELLIOT",
        "credential": "LLMSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINBOW",
            "last_name": "EDGAR",
            "credential": "LLMSW-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colleen Mary Dupuis, D.O.
• Theresa M Durley, NP
• James M Dwyer, LMSW
• Diana Dykstra, LMSW
• Ajay Eapen
• Shruthi Edunuri, MD
• Ryan D. Edwards, M.D.
• Robert Ehle
• Danielle Marie Ehret, NP
• David Charles Ehret, FNP-C

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.