Individual provider Active NPI

Christy L Edwards, LSCSW

  • Clinical Social Worker
  • Lawrence, KS
National Provider Identifier
1669573044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2414 Issued in KS
Practice address
719 Massachusetts St
Suite 125
Lawrence, KS 66044-2345
Phone
(785) 766-6800
Fax
(785) 842-4025
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2414 KS Primary

Addresses

Primary practice location

719 Massachusetts St
Suite 125
Lawrence, KS 66044-2345

Mailing address

719 Massachusetts St
Suite 125
Lawrence, KS 66044-2345
Phone (785) 766-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000231 KS Practitioner - Clinical Social Worker 0941268791 Practice locations: Lawrence, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

719 Massachusetts St
Suite 118
Lawrence, KS 66044-2345
Phone (785) 766-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2414KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669573044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 MASSACHUSETTS ST",
            "address_2": "SUITE 125",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442345",
            "telephone_number": "785-766-6800",
            "fax_number": "785-842-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MASSACHUSETTS ST",
            "address_2": "SUITE 125",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442345",
            "telephone_number": "785-766-6800",
            "fax_number": "785-842-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHRISTY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.