Deeidra S Edmunds, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Proctorville, Ohio. Her current practice location is
302 State St, Proctorville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 479-5135.
Deeidra S Edmunds is licensed to practice in West Virginia (license number DP00945394) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073077475.
Healthcare Provider's Profile
Full Name | Deeidra S Edmunds |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 302 State St, Proctorville, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Deeidra S Edmunds attended and graduated from in
NPI Data:
- NPI Number: 1073077475
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Deeidra S Edmunds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073077475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | DP00945394 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deeidra S Edmunds is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deeidra S Edmunds, LICSW 401 Center St Frnt B, Ironton, OH 45638-1519 Ph: (740) 479-5135 | Deeidra S Edmunds, LICSW 302 State St, Proctorville, OH 45669-5004 Ph: (740) 479-5135 |
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