Buford Edwards II, MSSW, MDIV
Individual provider Active NPI Social Worker · Stanford, KY
NPI 1831767532 · NPPES record last updated Jun 17, 2021
Key facts
- NPI
- 1831767532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 73 Elizabeth Ave
Stanford, KY 40484-9487 - Phone
- (859) 583-9045
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
73 Elizabeth Ave
Stanford, KY 40484-9487
Mailing address
73 Elizabeth Ave
Stanford, KY 40484-9487
Phone (859) 583-9045
Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.