Provider Demographics
NPI:1285962902
Name:EDWARDS, PATRICIA DANIELLE (MA, LMSW)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DANIELLE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MA, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 CARTER DR STE B
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5846
Mailing Address - Country:US
Mailing Address - Phone:302-257-5848
Mailing Address - Fax:302-397-2068
Practice Address - Street 1:292 CARTER DR STE B
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5846
Practice Address - Country:US
Practice Address - Phone:302-257-5848
Practice Address - Fax:302-397-2068
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator