JOHN RODERICK EDWARDS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
NPI 1629782339
Community/Behavioral Health in Oakland, CA

Q: What is John Roderick Edwards, A Licensed Clinical Social Worker Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since January 09, 2023

2939 SUMMIT ST STE 203, OAKLAND, CA 94609(510) 213-9284(510) 285-6457 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About John Roderick Edwards, A Licensed Clinical Social Worker Corporation NPPES

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

JOHN RODERICK EDWARDS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI 1629782339) is a healthcare organization registered as a community/behavioral health in Oakland, California and active in the NPI registry since January 2023. The organization lists John Roderick Edwards, President, as its authorized official.

NPPES Registry Identity

NPI1629782339

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameJOHN RODERICK EDWARDS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Location Address2939 SUMMIT ST STE 203Oakland, CA 94609-3404

Mailing AddressPo Box 491Oakland, CA 94604-0491 · (510) 213-9284 · Fax (510) 285-6457

Phone(510) 213-9284

Fax(510) 285-6457

Organization SubpartNo

Authorized OfficialJohn Roderick EdwardsPresident · (510) 213-9284

Enumeration DateJanuary 9, 2023

NPPES CertifiedJanuary 7, 2023

✔ NPI 1629782339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2939 SUMMIT ST STE 203, Oakland, CA 94609

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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 Roderick Edwards, A Licensed Clinical Social Worker Corporation's NPI number?

The NPI number for John Roderick Edwards, A Licensed Clinical Social Worker Corporation is 1629782339. It was assigned to this organization in the NPPES registry on January 9, 2023.

Where is John Roderick Edwards, A Licensed Clinical Social Worker Corporation located?

John Roderick Edwards, A Licensed Clinical Social Worker Corporation is located at 2939 Summit St Ste 203, Oakland, CA 94609. The listed phone number is (510) 213-9284.

What is John Roderick Edwards, A Licensed Clinical Social Worker Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for John Roderick Edwards, A Licensed Clinical Social Worker Corporation was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.