EDGE THERAPY AND LIFE COACHING
NPI 1982495925
Social Worker - Clinical in Oklahoma City, OK
- Organization
- Social Worker
- Clinical
About EDGE THERAPY AND LIFE COACHING
This page provides the complete NPI Profile along with additional information for Edge Therapy And Life Coaching, a provider established in Oklahoma City, Oklahoma operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1982495925 assigned on May 2025. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated July 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Monique Bautista Lcsw (Director)
- NPI
- 1982495925 Verify this NPI
- Provider Name
- EDGE THERAPY AND LIFE COACHING
- Entity Type
- Organization
- Location Address
- 3616 N MERIDIAN AVE STE 111 OKLAHOMA CITY, OK 73112
- Location Phone
- (909) 202-8403
- Location Fax
- (909) 697-2887
- Mailing Address
- 6101 CHERRY AVE STE 205 FONTANA, CA 92336
- Mailing Phone
- (909) 202-8361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2025
- Last Update Date
- 07-09-2026
- Code Navigator
A clinical social worker like Edge Therapy And Life Coaching is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Secondary Locations
- 6101 Cherry Ave Ste 205
Fontana, CA 92336
(909) 202-8361
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1033800560 | OTHER (01) | CA | NPI TYPE 1 |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982495925, enumerated as an "organization" on May 16, 2025.
The provider is located at 3616 N MERIDIAN AVE STE 111 OKLAHOMA CITY, OK 73112 and the phone number is (909) 202-8403.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
