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NPI Code Detail

MEDICARE: MISS STEPHANIE ELAINE EDWARDS MSW, LCSW-A

MEDICARE: MISS STEPHANIE ELAINE EDWARDS MSW, LCSW-A
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 WorkerP019252NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457080681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS STEPHANIE ELAINE EDWARDS MSW, LCSW-A
Provider Business Mailing Address
First Line : 900 N CHESTNUT ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-4854
Country : US
Telephone Number : 910-739-3064
Fax Number :
Provider Business Practice Location Address
First Line : 900 N CHESTNUT ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-4854
Country : US
Telephone Number : 910-739-3064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2022
Last Update Date : 09/19/2025

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