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MS. JENNIFER EDGE LCSW NPI 1467920975


NPI Information

NPI: 1467920975
Provider Name: MS. JENNIFER EDGE, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
2470 WINDY HILL RD SE STE 300
MARIETTA, GA
ZIP 30067
Phone: (770) 933-5328
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MS. Jennifer Edge, LCSW is a clinical social worker in Marietta, GA with 8 years of experience. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Jennifer Edge, LCSW NPI is 1467920975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2470 WINDY HILL RD SE STE 300
MARIETTA, GA
ZIP 30067-621
Phone: (770) 933-5328
Fax: (470) 980-0507

The NPI 1467920975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/2/2018 and was last updated on 3/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC1900XPsychologistCounselingCSW007295No
5103TP2701XPsychologistGroup PsychotherapyNo
6172V00000XCommunity Health WorkerNo
71041C0700XSocial WorkerClinicalCSW007295GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.