Julisa Edwards, MSW, CBHCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCM103581 Issued in FL

Practice address

4433 Pine Villa Cir
Pace, FL 32571-2072

Phone

(251) 607-8124

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1962085456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 PINE VILLA CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712072",
            "telephone_number": "251-607-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 PINE VILLA CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712072",
            "telephone_number": "251-607-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JULISA",
        "credential": "MSW, CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM103581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Jeorgina Dupree
• Allyson A Duvall, RPT
• Aaron Davison Edge
• Edwards Behavior Consulting, LLC
• Debora Fra Edwards
• Kaci Edwards
• Mark Edwards, MD
• Amy Carol Ellis, L.M.H.C.
• Nikki Leigh Ellis, M.S. CCC-SLP
• Emerald Coast Pediatrics, P.a.

• Case Manager/Care Coordinator in Pace, FL
• Providers in Pace, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.