Lashanda L. Edwards, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005680 Issued in GA

Practice address

470 Commerce Dr Ste 538
Peachtree City, GA 30269-3517

Phone

(404) 594-3857

Fax

(404) 777-9348

NPI assigned

Nov 8, 2017

Sex

Female

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

• Lashanda L. Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marvelously Adorned, LLC

  • Clinical Social Worker
  • Peachtree City, GA
  • NPI 1023521473
  NPD Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1740793199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302900084",
            "telephone_number": "404-594-3857",
            "fax_number": "404-777-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COMMERCE DR STE 538",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693517",
            "telephone_number": "404-594-3857",
            "fax_number": "404-777-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LASHANDA",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LASHANDA",
            "last_name": "JOHNSON",
            "middle_name": "L.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dynamic Spine Center
• East Point Recovery Center LLC (Georgia Addiction Treatment Center)
• Vici Lynn Eckhart, MSW LCSW
• Edens Health Group Lawrenceville
• Christopher Alton Edens, MD
• Ann E Eggert, M.D.
• Ej Snyder Medical, LLC
• Nancy P Elward, B.SC.PHM
• Jessika Marie Epperson
• Sarah Elizabeth Epps, M. ED.

• Clinical Social Worker in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.