Mr Dale Edmiaston, LMFT, LCSW, LCDC is a
Social Worker based in Granbury, Texas. Mr Dale Edmiaston is licensed to practice in Texas (license number 10202) and his current practice location is
5606 Hondo Drive, Granbury, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 326-4081.
NPI number for Mr Dale Edmiaston is 1780740480 and his current mailing address is Po Box 711, Granbury, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780740480.
Healthcare Provider's Profile
| Full Name | Mr Dale Edmiaston |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 5606 Hondo Drive, Granbury, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780740480
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mr Dale Edmiaston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780740480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3058 (Texas) | Secondary |
| 104100000X | Social Worker | 10202 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 10202 (Texas) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Texas) | Secondary |
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. Mr Dale Edmiaston 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 |
|---|
Mr Dale Edmiaston, LMFT, LCSW, LCDC
Po Box 711,
Granbury, TX 76048-0711
Ph: (817) 326-4081 | Mr Dale Edmiaston, LMFT, LCSW, LCDC
5606 Hondo Drive,
Granbury, TX 76049
Ph: (817) 326-4081 |
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