1. Home
  2. Directory
  3. North Carolina
  4. Mount Airy
  5. Counselor
  6. NPI Profile

MR. CLINTON JAMIE EDWARDS MA, M.ED, LCAS, CSI
NPI 1376108191
Counselor - Addiction (Substance Use Disorder) in Mount Airy, NC

Active since May 07, 2019
1151 W LEBANON ST STE 200, MOUNT AIRY, NC 27030(276) 728-6703 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, May 7, 2019 (2 updates tracked since 2019).

About Mr. Clinton Jamie Edwards Ma, M.ed, Lcas, Csi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLINTON JAMIE EDWARDS MA, M.ED, LCAS, CSI (NPI 1376108191) is an individual addiction (substance use disorder) provider in Mount Airy, North Carolina, licensed in North Carolina (LCAS-2133) and active in the NPI registry since May 2019. He maintains a secondary practice location in Walnut Cove.

NPPES Registry Identity

NPI1376108191
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CLINTON JAMIE EDWARDSCredential: MA, M.ED, LCAS, CSI
Location Address1151 W LEBANON ST STE 200Mount Airy, NC 27030-2225
Mailing Address6776 Snake Creek RdHillsville, VA 24343-4586 · (276) 728-6703
Phone(276) 728-6703
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1376108191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · LCAS-2133
1151 W LEBANON ST STE 200, Mount Airy, NC 27030
Open in Google Maps ↗

Secondary Practice Location 1

Location 13169 North Carolina Highway SouthWalnut Cove, NC 27052 · Phone (336) 306-4636

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CABIN VILLAGE AND ASSOCIATES, LLC
Counselor (Addiction (Substance Use Disorder))
1151 W LEBANON ST STE 200
MOUNT AIRY, NC 27030
Surry County (276) 728-6703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Edwards's NPI number?

The NPI number for Clinton Edwards is 1376108191. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Clinton Edwards located?

Clinton Edwards practices at 1151 W Lebanon St Ste 200, Mount Airy, NC 27030. The listed phone number is (276) 728-6703.

What is Clinton Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Clinton Edwards was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.