Phyllis Annette Edwards
Individual provider Active NPI Social Worker · Eastsound, WA
NPI 1891822367 · NPPES record last updated Oct 29, 2007
Key facts
- NPI
- 1891822367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- RC00026106 (WA)
- Practice address
- 7 Deye LN
Eastsound, WA 98245-8578 - Phone
- (360) 376-2561
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00026106 | WA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | RC00026106 | WA | Yes |
Addresses
Primary practice location
7 Deye LN
Eastsound, WA 98245-8578
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8384117 | Medicaid | WA |
Other providers in Eastsound, WA
- Rachael Cleghorn
- Eva Calyne Cunnington
- Cheryl Danskin
- Laurene Krisch David
- Dr. Aimee DC, Inc.
- Michael Franklin Elder
- Sharman Ensminger-Stapp
- Christopher Evans
- Family Tree Chiropractic, Inc
- Tyrel James Finmor
All providers in Eastsound, WA · Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2007. 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.