PHYLLIS ANNETTE EDWARDS NPI 1891822367

NPI Information

NPI: 1891822367
Provider Name: PHYLLIS ANNETTE EDWARDS
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
7 DEYE LN
EASTSOUND, WA
ZIP 98245
Phone: (360) 376-2561
Get Directions

Phyllis Annette Edwards is a social worker in Eastsound, WA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Phyllis Annette Edwards NPI is 1891822367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7 DEYE LN
EASTSOUND, WA
ZIP 98245-578
Phone: (360) 376-2561

The enumeration date for this NPI number is 2/28/2007 and was last updated on 10/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		RC00026106	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8384117	MEDICAID	WASHINGTON
2	G8854532	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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