Charles Alexander Edwards Jr., LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

119652 Issued in NY

Practice address

50 Rose Ave
Valley Stream, NY 11580-3221

Phone

(516) 758-7501

NPI assigned

Jun 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Charles Alexander Edwards Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1710663836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROSE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803221",
            "telephone_number": "516-758-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROSE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803221",
            "telephone_number": "516-758-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHARLES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "119652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "EDWARDS",
            "middle_name": "ALEXANDER",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alevtina I Edgar, D.D.S
• Leigh-Ann Edison, P.T.,D.P.T.,C.S.C.S.
• Nkechi Edomobi Ohia, LPN
• Ayisha T Edwards, M.D.
• Bernadette Edwards
• Nickesha C Edwards, RN
• Shirly Edwards
• Neda Eghbali
• Lindsey Ehrhardt
• Ira Ehrlich, DDS

• Social Worker in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.