MEDICARE: MRS. AMY EDWARDS LCSW

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
1	1041C0700X	Clinical Social Worker	9973	TN

General Provider Information

NPI Number	:	1396679908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY EDWARDS LCSW

Provider Business Mailing Address
First Line	:	9245 POPLAR AVE STE 5-373
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-7931
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9245 POPLAR AVE STE 5-373
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-7931
Country	:	US
Telephone Number	:	901-237-0935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/12/2026

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