Provider Demographics
NPI:1295416550
Name:EDWARDS, MADISON LOVE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:LOVE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 MERRY REST WAY
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3889
Mailing Address - Country:US
Mailing Address - Phone:317-874-8874
Mailing Address - Fax:
Practice Address - Street 1:2829 MERRY REST WAY
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3889
Practice Address - Country:US
Practice Address - Phone:720-295-3248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical