Celestina Edleman

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1601 University Dr
Rockford, IL 61107-5317

Phone

(888) 928-0212

NPI assigned

Dec 5, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1992572572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 GROVE HILL RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 UNIVERSITY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075317",
            "telephone_number": "888-928-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLEMAN",
        "first_name": "CELESTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ashley Edgcomb, D.D.S., M.S.
• Leslie Paul Edgcomb, M.D.
• Edgebrook Dermatology P.C.
• Edgebrook Dermatology, PC.
• Edgebrook Physical Therapy, Inc.
• William C. Edleman, LCSW
• Edward P. Rentschler DDS, PC
• Ashley Kristine Edwards, MS, RD, LDN
• John N. Edwards, MD
• Kelsey Payge Edwards, ATC

• Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.