Emily Blair Edwards, LCSW
Individual provider Active NPI Clinical Social Worker · Deland, FL
NPI 1740684398 · NPPES record last updated Mar 20, 2022
Key facts
- NPI
- 1740684398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW14692 (FL)
- Practice address
- 118 1/2 N Woodland Blvd Ste 3
Deland, FL 32720-4268 - Phone
- (407) 765-4703
- NPI assigned
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
118 /2 N Woodland Blvd
Suite 3
Deland, FL 32720-4268
Phone (407) 765-4703
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200106000666 | FL | Practitioner - Clinical Social Worker | 7214361955 | Practice locations: Deland, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14692 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14692 | FL | Yes |
Addresses
Primary practice location
118 1/2 N Woodland Blvd Ste 3
Deland, FL 32720-4268
Mailing address
419 Pink Coral LN
New Smyrna Beach, FL 32168-5319
Phone (407) 765-4703
Other practice location 1
136 Julia St Unit 100
New Smyrna Beach, FL 32168-7713
Phone (386) 717-9980
Other names
- Miss Emily Blair Holliday
Other providers in Deland, FL
- Easterseals Florida, Inc.
- Easterseals Northeast Central Florida
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Edward V Kornuszko Psy D PA
- Samuel M Edwards
- Elite Emdr LLC
- Embark Home Healthcare LLC
- Emc Speech & ABA Therapy Inc
- Emergency Medicine Professionals PA
All providers in Deland, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.