Lara S Edwards (NPI# 1477836690, PAC ID# 6204066392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1477836690 |
| PAC ID by PECOS | 6204066392 |
| Professional Enrollment ID | I20140312000600 |
| Full Name | Lara S Edwards |
| Organization Legal Name | MAVERICK FAMILY COUNSELING LCSW PLLC |
| Address |
404 Zena Rd Woodstock NY 12498-2626 |
| Phone Number | 8456798650 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1557597184 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 404 Zena Rd, Woodstock, NY 12498-2626 | 8456798650 | MAVERICK FAMILY COUNSELING LCSW PLLC |
| Organization Legal Name | MAVERICK FAMILY COUNSELING LCSW PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Bergen | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Mary Ranges | Nurse Practitioner | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Mary B Vandezande | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Ty A Little | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Donna J Boundy | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Jennifer A White | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Barbara Rissman | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Gabrielle Kleinmann | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Fay M Aaronson | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Thayer S Case | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Street Address |
404 ZENA RD |
| City | WOODSTOCK |
| State | NY |
| Zip | 12498-2626 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin D Krakower | Internal Medicine | Health Quest Medical Practice, PC | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Heather A Bergen | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Eugene J Dougherty | Physician Assistant | Health Quest Medical Practice, PC | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Mary Ranges | Nurse Practitioner | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Ricardo S Leon | Physician Assistant | Health Quest Medical Practice, PC | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Mary B Vandezande | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Teresa Jeanne Foster | Family Medicine | Health Quest Medical Practice, PC | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Ty A Little | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Donna J Boundy | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Jennifer A White | Clinical Social Worker | Maverick Family Counseling Lcsw Pllc | 404 Zena Rd, Woodstock, NY 12498-2626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjorie E Berman | Clinical Social Worker | 118 Tinker St, Woodstock, NY 12498-1102 | |
| Arthur A Dinapoli | Internal Medicine | Medical Associates of The Hudson Valley | 9 Elwyn Ln, Woodstock, NY 12498-1301 |
| Jane Young | Nurse Practitioner | Arthur Dinapoli Md Phd PC | 9 Elwyn Ln, Woodstock, NY 12498-1301 |
| Robin O Scherm | Psychologist, Clinical | 15 Pine Grove St, Woodstock, NY 12498-1507 | |
| Meryl Kramer Harrison | Certified Clinical Nurse Specialist (cns) | 15 Pine Grove St, Woodstock, NY 12498-1507 | |
| Maria Y Dubois | Nurse Practitioner | 15 Pine Grove St, Woodstock, NY 12498-1507 | |
| Patricia Brescia-cantine | Clinical Social Worker | 15 Pine Grove St, Woodstock, NY 12498-1507 | |
| Lucas E. Monroe | Clinical Social Worker | 5 Playhouse Ln, Woodstock, NY 12498-1609 | |
| Louise F Cooper | Clinical Social Worker | 6 Chesters Pl, Woodstock, NY 12498-1748 | |
| Gail Albert | Psychologist, Clinical | 84 Witchtree Rd, Woodstock, NY 12498-1940 | |
| Find all physicians in zip 12498 | |||
| City | WOODSTOCK |
| Zip Code | 12498 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WOODSTOCK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lara S Edwards.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.