Angela Leslie Edwards

Individual provider Active NPI Case Manager/Care Coordinator · Taft, CA

NPI 1659969335 · NPPES record last updated Dec 16, 2021

Key facts

NPI
1659969335
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1021 4TH St Ste B
Taft, CA 93268-2433
Phone
(661) 765-7025
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hispanic Commission on Alcohol and Drug Abuse Services Past
since Jan 1, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1021 4TH St Ste B
Taft, CA 93268-2433

Mailing address

1021 4TH St Ste B
Taft, CA 93268-2433
Phone (661) 765-7025

Other providers in Taft, CA

All providers in Taft, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.