Deeidra S Edmunds, LICSW is a
Social Worker - Clinical based in Proctorville, Ohio. Deeidra S Edmunds is licensed to practice in West Virginia (license number DP00945394) and her current practice location is
302 State St, Proctorville, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 479-5135.
NPI number for Deeidra S Edmunds is 1073077475 and her current mailing address is 401 Center St Frnt B, Ironton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073077475.
Healthcare Provider's Profile
| Full Name | Deeidra S Edmunds |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 302 State St, Proctorville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073077475
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 11/04/2022
Medical Identifiers
Medical identifiers for Deeidra S Edmunds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073077475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | DP00945394 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deeidra S Edmunds is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Deeidra S Edmunds, LICSW 401 Center St Frnt B, Ironton, OH 45638-1519 Ph: (740) 479-5135 | Deeidra S Edmunds, LICSW 302 State St, Proctorville, OH 45669-5004 Ph: (740) 479-5135 |
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