Provider Demographics
NPI:1003989385
Name:EDWARDS, NANCY KUHL (LICSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KUHL
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3065 NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-9256
Mailing Address - Country:US
Mailing Address - Phone:952-471-9332
Mailing Address - Fax:
Practice Address - Street 1:3065 NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-9256
Practice Address - Country:US
Practice Address - Phone:952-471-9332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical