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NPI Code Detail

MEDICARE: CALIE EDMONDS

MEDICARE:   CALIE  EDMONDS
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1033078043
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALIE EDMONDS
Provider Business Mailing Address
First Line : 2328 CHAMPION CT
Second Line :
City : RALEIGH
State : NC
Zip : 27606-2018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2328 CHAMPION CT
Second Line :
City : RALEIGH
State : NC
Zip : 27606-2018
Country : US
Telephone Number : 919-523-4439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 02/19/2026

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Directions to “ CALIE EDMONDS ” Practice Location

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