Individual provider Active NPI

Cynthia June Edwards, LCSW, LASOP

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1811426968
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22127 Issued in AZ
Practice address
11309 E Spaulding Ave
Mesa, AZ 85212-7024
Phone
(618) 889-2213
NPI assigned
Jun 11, 2017
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-22127 AZ Primary

Addresses

Primary practice location

11309 E Spaulding Ave
Mesa, AZ 85212-7024

Mailing address

11309 E Spaulding Ave
Mesa, AZ 85212-7024
Phone (618) 889-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22127AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1811426968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 E SPAULDING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127024",
            "telephone_number": "618-889-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11309 E SPAULDING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127024",
            "telephone_number": "618-889-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CYNTHIA",
        "middle_name": "JUNE",
        "credential": "LCSW, LASOP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.