Jonathan Edwards, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801103083 Issued in MI

Practice address

5331 Plymouth Rd
Ann Arbor, MI 48105-9520

Phone

(734) 996-9111

Fax

(734) 996-1950

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jonathan.edwards.1@4327.direct.athenahealth.com

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.

• E Gonzalez Counseling, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1215475934
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1861830697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 DEAKE AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081336",
            "telephone_number": "734-210-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059520",
            "telephone_number": "734-996-9111",
            "fax_number": "734-996-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Devant St",
            "address_2": "Suite 702",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142710",
            "country_code": "US",
            "telephone_number": "404-394-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JONATHAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Edwards, MD
• Elizabeth Alexandra Edwards, MD
• Erica Michelle Edwards, MD
• Jason Kelley Edwards, MD
• Jessica Edwards, LPC
• Laura Jean Edwards, D.D.S., M.S.
• Linda Elaine Edwards
• Sara O Donnell Edwards, MSW
• Sarah Edwards, MD
• Sean Peter Edwards, MD, DDS

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Sep 11, 2018; 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.