Individual provider Active NPI

Mary Susan St John Edds, LSCSW

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1639132780
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027 Issued in KS
Practice address
330 SW Oakley Ave
Topeka, KS 66606-1995
Phone
(785) 273-2252
NPI assigned
Apr 10, 2006
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1027 KS Primary

Addresses

Primary practice location

330 SW Oakley Ave
Topeka, KS 66606-1995

Mailing address

5401 SW 7TH St
Topeka, KS 66606-2330
Phone (785) 273-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Mental Health and Recovery, Inc. PastSince Jan 1, 1990 Accepting new patients
Astra Mental Health and Recovery, Inc. PastSince Jan 1, 1990 Accepting new patients
Astra Mental Health and Recovery, Inc. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1639132780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SW 7TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062330",
            "telephone_number": "785-273-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW OAKLEY AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061995",
            "telephone_number": "785-273-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN EDDS",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.