Provider Demographics
NPI:1336935709
Name:DR. LENA EDWARDS ACADEMIC CHARTER SCHOOL
Entity type:Organization
Organization Name:DR. LENA EDWARDS ACADEMIC CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-433-5300
Mailing Address - Street 1:509 BRAMHALL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2730
Mailing Address - Country:US
Mailing Address - Phone:201-433-5300
Mailing Address - Fax:201-433-1896
Practice Address - Street 1:509 BRAMHALL AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2730
Practice Address - Country:US
Practice Address - Phone:201-433-5300
Practice Address - Fax:201-433-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)