Provider Demographics
NPI:1609045772
Name:EDWARDS, DELSIE NAOMI (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:DELSIE
Middle Name:NAOMI
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:D
Other - Middle Name:NAOMI
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1509 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1401
Mailing Address - Country:US
Mailing Address - Phone:202-289-1510
Mailing Address - Fax:
Practice Address - Street 1:1509 16TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1401
Practice Address - Country:US
Practice Address - Phone:202-289-1510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC30007731041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool