Provider Demographics
NPI:1841464955
Name:EDWARDS, EDWARD WILLIAM (LCSW)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:WILLIAM
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 INDUSTRIAL RD
Mailing Address - Street 2:
Mailing Address - City:PEQUANNOCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07440-1901
Mailing Address - Country:US
Mailing Address - Phone:973-839-2520
Mailing Address - Fax:973-839-2240
Practice Address - Street 1:1259 RT 46. EAST
Practice Address - Street 2:SUITE 100A
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-794-6401
Practice Address - Fax:973-839-2240
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00695400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker