Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEEIDRA S EDMUNDS, LICSW
ActiveDEEIDRA S EDMUNDS, LICSW is a Clinical Social Worker healthcare provider located in PROCTORVILLE, Ohio. NPI 1073077475 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PROCTORVILLE, OH
Registration Details
- NPI Number
- 1073077475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2019 (7.4964819164655 yrs)
- Last Updated
- Nov 4, 2022
- License
-
DP00945394 (WV)
Practice Information
- Address
-
302 STATE STPROCTORVILLE, OH, 456695004Browse OH providers · Browse ZIP 45669
- Phone
- 7404795135
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.