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MR. EDGAR E CORDOBA JR. LMSW
NPI 1417433616
Social Worker - Clinical in Panama City Beach, FL

Active since July 11, 2018
22219 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413(850) 424-1923 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Edgar E Cordoba Jr. Lmsw NPPES

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

MR. EDGAR E CORDOBA JR. LMSW (NPI 1417433616) is an individual clinical provider in Panama City Beach, Florida, licensed in Georgia (MSW007376) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1417433616
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EDGAR E CORDOBA JR.Credential: LMSW
Location Address22219 PANAMA CITY BEACH PKWYPanama City Beach, FL 32413-3227
Mailing Address22219 Panama City Beach PkwyPanama City Beach, FL 32413-3227 · (850) 424-1923
Phone(850) 424-1923
Sole ProprietorNo
Enumeration DateJuly 11, 2018
✔ NPI 1417433616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · MSW007376
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.
22219 PANAMA CITY BEACH PKWY, Panama City Beach, FL 32413
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Other Providers at the Same Location NPPES 3

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

JOURNEYPURE PANHANDLE MEDICAL GROUP LLC
Internal Medicine (Addiction Medicine)
22219 PANAMA CITY BEACH PKWY
PANAMA CITY, FL 32413
Bay County (850) 249-4300
MISS DIANNA OLSEN MA, CAP
Counselor (Addiction (Substance Use Disorder))
22219 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32413
Bay County (844) 311-1920
MARLANA ROSE CANNATA
Counselor (Professional)
22219 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32413
Bay County (850) 249-4300

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 Edgar Cordoba's NPI number?

The NPI number for Edgar Cordoba is 1417433616. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Edgar Cordoba located?

Edgar Cordoba practices at 22219 Panama City Beach Pkwy, Panama City Beach, FL 32413. The listed phone number is (850) 424-1923.

What is Edgar Cordoba's specialty?

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

When was this NPI record last updated?

The NPPES record for Edgar Cordoba was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.