M J Edwards LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

M J EDWARDS LLC

Practice address

8900 Three Chopt Rd Ste C
Richmond, VA 23229-4615

Phone

(804) 564-4095

Fax

(804) 288-0035

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Martha Edwards, OWNERNPI 1104121284

Title

LCSW

Phone

(804) 405-7036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Martha J Edwards, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1104121284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1619444288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 THREE CHOPT RD STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294615",
            "telephone_number": "804-564-4095",
            "fax_number": "804-288-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 THREE CHOPT RD STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294615",
            "telephone_number": "804-564-4095",
            "fax_number": "804-288-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M J EDWARDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "804-405-7036",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.