EDGE COUNSELING AND WELLNESS LLC
NPI 1790275485
Social Worker - Clinical in Peoria, IL

Q: What is Edge Counseling And Wellness LLC's NPI number?

The NPI number for Edge Counseling And Wellness LLC is 1790275485. It was assigned to this organization in the NPPES registry on May 17, 2018.

Q: What is Edge Counseling And Wellness LLC's specialty?

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

Active since May 17, 2018

719 W LAKE AVE, PEORIA, IL 61614(309) 360-8912 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2021, May 17, 2018 (2 updates tracked since 2018).

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About Edge Counseling And Wellness Llc NPPES

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

EDGE COUNSELING AND WELLNESS LLC (NPI 1790275485) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since May 2018. The organization lists Audrey Lemasters, Owner, as its authorized official.

NPPES Registry Identity

NPI1790275485

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameEDGE COUNSELING AND WELLNESS LLC

Location Address719 W LAKE AVEPeoria, IL 61614-5941

Mailing Address719 W Lake AvePeoria, IL 61614-5941 · (309) 360-8912

Phone(309) 360-8912

Organization SubpartNo

Authorized OfficialAudrey LemastersOwner · (309) 360-8912

Enumeration DateMay 17, 2018

Last NPPES UpdateNovember 7, 20212 updates tracked since enumeration

NPPES CertifiedNovember 7, 2021

✔ NPI 1790275485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

719 W LAKE AVE, Peoria, IL 61614

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 10

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

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