Colleen M. Edwards, L-CSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R045006 Issued in NY

Practice address

11382 Hiview CT
Marilla, NY 14102-9705

Phone

(716) 863-8627

NPI assigned

Jun 21, 2007

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Iroquois Central School District

  • Local Education Agency (LEA)
  • Elma, NY
  • NPI 1578618757
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1740486448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11382 HIVIEW CT",
            "city": "MARILLA",
            "state": "NY",
            "postal_code": "141029705",
            "telephone_number": "716-863-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11382 HIVIEW CT",
            "city": "MARILLA",
            "state": "NY",
            "postal_code": "141029705",
            "telephone_number": "716-863-8627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11403 Tomarsue Rd",
            "address_purpose": "LOCATION",
            "city": "Marilla",
            "state": "NY",
            "postal_code": "14102",
            "country_code": "US",
            "telephone_number": "716-863-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "COLLEEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "L-CSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill A. Alessi, RN
• Mary Elizabeth Earsing, LPN
• Linda Jean Grill, SPEECH THERAPIST
• Christine Mary Lufkin, RN
• Rachel Carreras Tibold

• Clinical Social Worker in Marilla, NY
• Providers in Marilla, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.