MR. JOHN R EDWARDS MSW, LCSW
NPI 1386902021
Social Worker - Clinical in Oakland, CA

Active since May 01, 2012Opted out of Medicare · through Jul 1, 2027
431 30TH ST, SUITE 2, OAKLAND, CA 94609(510) 213-9284 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John R Edwards Msw, Lcsw NPPES

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

MR. JOHN R EDWARDS MSW, LCSW (NPI 1386902021) is an individual clinical provider in Oakland, California, licensed in California (LCS 20729) and active in the NPI registry since May 2012. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1386902021
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN R EDWARDSCredential: MSW, LCSW
Location Address431 30TH ST, SUITE 2Oakland, CA 94609-3307
Mailing AddressPo Box 491Oakland, CA 94604-0491 · (510) 213-9284
Sole ProprietorYes
Enumeration DateMay 1, 2012
Last NPPES UpdateJune 28, 2013
NPI 1386902021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CA · LCS 20729 Licensed in WA · LW60058525
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
431 30TH ST, Oakland, CA 94609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. John R Edwards Msw, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Registered Nurse
431 30TH ST, SUITE #1
OAKLAND, CA 94609
Counselor (Mental Health)
431 30TH ST, SUITE 250
OAKLAND, CA 94609
Social Worker (School)
431 30TH ST
OAKLAND, CA 94609
Marriage & Family Therapist
431 30TH ST, STE 4B
OAKLAND, CA 94609
Psychologist (Clinical)
431 30TH ST
OAKLAND, CA 94609
Speech-Language Pathologist
431 30TH ST
OAKLAND, CA 94609
Chiropractor (Neurology)
431 30TH ST
OAKLAND, CA 94609
Acupuncturist
431 30TH ST
OAKLAND, CA 94609

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 John Edwards's NPI number?

The NPI number for John Edwards is 1386902021. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is John Edwards located?

John Edwards practices at 431 30th St Suite 2, Oakland, CA 94609. The listed phone number is (510) 213-9284.

What is John Edwards's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Edwards enrolled in Medicare?

No. John Edwards has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Edwards was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.