Provider Demographics
NPI:1831806736
Name:EDWARDS, KIRA (LGSW, LMSW)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LGSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 ARBOR PARK PL
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3176
Mailing Address - Country:US
Mailing Address - Phone:301-830-0511
Mailing Address - Fax:
Practice Address - Street 1:1409 V ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4809
Practice Address - Country:US
Practice Address - Phone:202-729-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG200003017104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker