Provider Demographics
NPI:1457323172
Name:EDWARDS, JANICE BERRY (DSW DOCTORATE OF SOC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:BERRY
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DSW DOCTORATE OF SOC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5225 WISCONSIN AVE NW
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2014
Mailing Address - Country:US
Mailing Address - Phone:202-244-9000
Mailing Address - Fax:202-244-1610
Practice Address - Street 1:5225 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 104
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2014
Practice Address - Country:US
Practice Address - Phone:202-244-9000
Practice Address - Fax:202-244-1610
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCF063OtherBLUE CROSS AND BLUE SHIEL
DC142643Medicare PIN