JENNIFER L EDGE (NPI# 1497825889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497825889 |
| Entity Type | Individual |
| Full Name | JENNIFER L EDGE |
| Credential | LCSW |
| Practice Address |
13649 Office Place Suite 102 Woodbridge VA 22192 |
| Practice Telephone | 7036705738 |
| Practice Fax Number | 7036708213 |
| Mailing Telephone | 7036705738 |
| Mailing Fax Number | 7036708213 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904004939 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 146467 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920975 | Jennifer Ann Edge | Social Worker | 50 Lenox Pointe Ne Ste A, Atlanta, GA 30324-3170 | 2018-11-02 |
| 1487864682 | Jennifer L Edge | Counselor | 602 Pleasant Oak Dr, Oregon, WI 53575-3282 | 2007-05-23 |
| 1669521670 | Jennifer Catherine Edge | Nurse Anesthetist, Certified Registered | 1801 S 17th St, Wilmington, NC 28401-6443 | 2007-01-09 |
| Street Address |
13649 OFFICE PLACE SUITE 102 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821168212 | V Renee Burdett | Psychiatry & Neurology | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1760540967 | Renee Burdett, Md PC | Psychiatry & Neurology | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-12-04 |
| 1528138914 | James J Crist | Psychologist | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1386714764 | Shawn P Emmons | Psychologist | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1235209628 | Evelyn L Flynn | Social Worker | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1578633962 | Betty O Graves | Social Worker | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1801409123 | Angel Bartlett | Social Worker | 2357 Brookmoor Ln, Woodbridge, VA 22191-4083 | 2020-08-26 |
| 1306308234 | Emily Manza | Social Worker | 16012 Indus Dr, Woodbridge, VA 22191-4336 | 2019-04-01 |
| 1053885707 | Shatiera Monique Amankrah | Social Worker | 3733 Hetten Ln, Woodbridge, VA 22193-1048 | 2019-01-16 |
| 1922576099 | Paula Dorman | Social Worker | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2018-11-07 |
| 1417444910 | Mallory Grimste LLC | Social Worker | 30 Hazel Ter Ste 12, Woodbridge, CT 06525-2240 | 2018-04-19 |
| 1003315391 | Sage Community Counseling LLC | Social Worker | 2239b Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2018-02-02 |
| 1568902765 | Tabitha Mann | Social Worker | 12191 Cardamom Dr, Woodbridge, VA 22192-1448 | 2017-03-07 |
| 1184169765 | Mahogany Lacour | Social Worker | 4197 Windflower Ct, Woodbridge, VA 22193-5100 | 2017-01-05 |
| 1932655354 | Kayla Marie Lucas | Social Worker | 1 Bradley Rd Ste 404405, Woodbridge, CT 06525-2285 | 2016-08-26 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on JENNIFER L EDGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.