Provider Demographics
NPI:1487800223
Name:EDWARDS, JAMES WILLIAM (LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WILLIAM
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 SANDPOINT DR
Mailing Address - Street 2:
Mailing Address - City:RODEO
Mailing Address - State:CA
Mailing Address - Zip Code:94572-1819
Mailing Address - Country:US
Mailing Address - Phone:510-244-0888
Mailing Address - Fax:510-291-4773
Practice Address - Street 1:979 SANDPOINT DR
Practice Address - Street 2:
Practice Address - City:RODEO
Practice Address - State:CA
Practice Address - Zip Code:94572-1819
Practice Address - Country:US
Practice Address - Phone:510-244-0888
Practice Address - Fax:510-291-4773
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker