Patricia Janice Edwards, LMSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033310 Issued in MI

Practice address

950 Taylor Ave Ste 100
Grand Haven, MI 49417-2281

Phone

(888) 284-5129

Fax

(616) 296-0711

NPI assigned

Aug 31, 2006

Last updated

Jan 11, 2012By 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 MI

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 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patricia J. Edwards, LMSW/Acsw, P.C.

  • Clinical Social Worker
  • Spring Lake, MI
  • NPI 1376721688
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1851402978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172281",
            "telephone_number": "888-284-5129",
            "fax_number": "616-296-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172281",
            "telephone_number": "888-284-5129",
            "fax_number": "616-296-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PATRICIA",
        "middle_name": "JANICE",
        "name_prefix": "Ms.",
        "credential": "LMSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Eadelman, NP
• Kelly Eaton-Kelley
• Rileigh Elizabeth Grace Eding, PT, DPT
• Edson Medical Clinic, LLC (PCA Pain Care Center)
• Leah Edwards
• Nichole Marie Eickholt, MSPT
• Catherine Jo Elmore
• Rachel Elms, RBT
• Bianca Eluskie, DPT
• James Elwell, DDS

• Clinical Social Worker in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.