MS. LUCRETIA GOLDIZEN EDGE (NPI# 1679807317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679807317 |
| Entity Type | Individual |
| Full Name | MS. LUCRETIA GOLDIZEN EDGE |
| Other Name | LUANN EDGE |
| Credential | LICSW |
| Practice Address |
6 Park St Petersburg WV 26847-1765 |
| Mailing Address |
6 Park Street Petersburg WV 26847 |
| Practice Telephone | 3042571155 |
| Mailing Telephone | 3042571155 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
DP00942820 | WV | Behavioral Health & Social Service Providers |
| Street Address |
6 PARK ST |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992074983 | Potomac Highlands Mental Health Guild | Community/Behavioral Health | 6 Park St, Petersburg, WV 26847-1765 | 2011-12-20 |
| 1538438528 | Potomac Highlands Mental Health Guild | Community/Behavioral Health | 6 Park St, Petersburg, WV 26847-1765 | 2011-12-20 |
| 1205165347 | Potomac Highlands Guild | Community/Behavioral Health | 6 Park St, Petersburg, WV 26847-1765 | 2009-12-21 |
| 1689862443 | Kathy L Murphy | Counselor | 6 Park St, Petersburg, WV 26847-1765 | 2007-10-05 |
| 1720273170 | Potomac Highlands Guild | Community/Behavioral Health | 6 Park St, Petersburg, WV 26847-1765 | 2007-09-10 |
| 1275728628 | Potomac Highlands Guild | Community/Behavioral Health | 6 Park St, Petersburg, WV 26847-1765 | 2007-09-10 |
| 1548352719 | Judith A See-gilmore | Social Worker | 6 Park St, Petersburg, WV 26847-1765 | 2006-09-28 |
| 1992714398 | Potomac Highlands Mental Health Guild, Inc. | Day Training, Developmentally Disabled Services | 6 Park St, Petersburg, WV 26847-1765 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| 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 |
|---|---|---|---|---|
| 1336772532 | Ascendance Center, LLC | Social Worker | 90 Ivy Ln, Petersburg, VA 23805-1367 | 2020-02-16 |
| 1952872269 | Abbey Lynn Venturini | Social Worker | 323 W Rutledge St, Petersburg, IL 62675-1239 | 2018-12-12 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| 1073936597 | Stephanie Anita Banda | Social Worker | 202 Gjoa Street, Petersburg, AK 99833 | 2014-02-04 |
| 1760805212 | Florise Dock | Social Worker | 20 W Bank St Ste 5, Petersburg, VA 23803-3279 | 2014-02-03 |
| 1659670206 | Rene Martin | Social Worker | 350 Poplar Spring Hospital, Petersburg, VA 23860 | 2011-03-22 |
| 1366769150 | Jacqueline M. Owens | Social Worker | 1200 W Washington St, Petersburg, VA 23803-3923 | 2010-05-03 |
| 1053599159 | Carla Felicia Jones | Social Worker | 5923 Church Rd, Petersburg, VA 23803-4534 | 2008-01-31 |
| 1538348552 | Tuula H Koraska | Social Worker | 6147 Duncan Rd, # E, Petersburg, VA 23803-7498 | 2007-10-26 |
| 1588793517 | Marlene Franchini Kline | Social Worker | 204 Virginia Ave, Petersburg, WV 26847-1716 | 2007-03-05 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
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| 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.