Edwin Antoine Gresham, LCSW - Clinical Social Worker in Columbus, MS

Edwin Antoine Gresham, LCSW is a Social Worker - Clinical based in Columbus, Mississippi. Edwin Antoine Gresham is licensed to practice in Georgia (license number CSW005584) and his current practice location is 201 Independence Drive, Columbus, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 434-2273.

NPI number for Edwin Antoine Gresham is 1841536406 and his current mailing address is 201 Independence Drive, Columbus, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841536406.

Contact Information

Edwin Antoine Gresham, LCSW
201 Independence Drive,
Columbus, MS 39710-5300
(662) 434-2273
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEdwin Antoine Gresham
GenderMale
SpecialitySocial Worker - Clinical
Location201 Independence Drive, Columbus, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841536406
  • Provider Enumeration Date: 12/28/2012
  • Last Update Date: 07/12/2021

Medical Identifiers

Medical identifiers for Edwin Antoine Gresham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841536406NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW005584 (Georgia)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. Edwin Antoine Gresham 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 AddressPractice Location Address
Edwin Antoine Gresham, LCSW
201 Independence Drive,
Columbus, MS 39710-5300

Ph: (662) 434-2273
Edwin Antoine Gresham, LCSW
201 Independence Drive,
Columbus, MS 39710-5300

Ph: (662) 434-2273

Reviews and Comments


Social Worker in Columbus, MS

Mrs. Crystal Nuss, L.C.S.W.
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Phone: 662-434-2292    Fax: 662-434-2295
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