Edwards Assessments and Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

COOO553 Issued in NC

Legal business name

EDWARDS ASSESSMENTS AND COUNSELING, INC.

Practice address

321 NC Highway 125
Roanoke Rapids, NC 27870-6445

Phone

(252) 535-1070

Fax

(252) 535-1090

NPI assigned

Nov 21, 2010

Last updated

Nov 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Pruden Edwards, LCSW, LCAS, ACSWNPI 1881719698

Title

Ceo

Phone

(252) 535-1070

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Pruden Edwards, ACSW,LCSW,LCAS,CSI

  • Clinical Social Worker
  • Roanoke Rapids, NC
  • NPI 1881719698
  Medicare reassignment NPD Authorized official
• Ravinder Mamedi, M.D.

  • Psychiatry Physician
  • Roanoke Rapids, NC
  • NPI 1972554541
  NPD

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

{
    "created_epoch": "1290297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290297600000",
    "number": "1669774824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "JACKSON",
            "state": "NC",
            "postal_code": "278450475",
            "telephone_number": "252-535-1070",
            "fax_number": "252-535-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NC HIGHWAY 125",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278706445",
            "telephone_number": "252-535-1070",
            "fax_number": "252-535-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS ASSESSMENTS AND COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-21",
        "last_updated": "2010-11-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "PRUDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-535-1070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCAS, ACSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "483",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4018",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "COOO553",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005473",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Pruden Edwards, ACSW,LCSW,LCAS,CSI
• Nettie Wheeler Edwards
• Nikijha Edwards
• Ranya Elguendy
• Hope Anne Elias

• Clinical Social Worker in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2010; 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.