Edmonds, Martha
Edmonds, Martha is an individual health care provider with primary practice located at 2900 Tyler Rd , Christiansburg VA 24073-6374. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edmonds, Martha can be contacted via phone (540) 731-7311.Contact Information
Primary practice address
2900 Tyler Rd
Christiansburg VA 24073-6374
Phone: (540) 731-7311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904-001427 | Virginia |
Profile Details
| NPI number | 1114996550 |
|---|---|
| LBN Legal business name | Edmonds, Martha |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114996550 | NPPES |
| Virginia | MEDICAID | 8911797 | |
| Virginia | MEDICAID | 010212171 |
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