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General NPI Number Information
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NPI Number | 1811903941
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Entity Type | Individual
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Provider Name | JAMES STEPHEN EDWARDS MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1907 W. SYCAMORE STREET
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City | KOKOMO
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State | IN
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Zip | 46904-9010
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Country | US
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Telephone | 765-456-5900
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Fax | 765-456-5387
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Provider Business Mailing Address
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Address Line | 11708 CRESTVIEW BLVD
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City | KOKOMO
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State | IN
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Zip | 46901-9700
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Country | US
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Telephone | 765-434-6602
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002244A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 80000015A
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License Number State | IN
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