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NPI Code Detail

MEDICARE: CHEVELLE EDWARDS

MEDICARE: CHEVELLE EDWARDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker44SL07211800NJ

General Provider Information

NPI Number : 1003768151
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEVELLE EDWARDS
Provider Business Mailing Address
First Line : 395 S CENTER ST
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3205
Country : US
Telephone Number : 973-675-3817
Fax Number :
Provider Business Practice Location Address
First Line : 395 S CENTER ST
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3205
Country : US
Telephone Number : 973-675-3817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ CHEVELLE EDWARDS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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