Individual
MR. JAMES STEPHEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1907 W. SYCAMORE STREET, KOKOMO, IN 46904-9010
(765) 456-5900
(765) 456-5387
Mailing address
11708 CRESTVIEW BLVD, KOKOMO, IN 46901-9700
(765) 434-6602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002244A
IN
171100000X
Acupuncturist
Primary
80000015A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343457
ANTHEM BX/BS ID NUMBER
IN
01
—
11347475
CAQH ID NUMBER
IN
01
—
2069517
CIGNA ID NUMBER
IN
01
—
EDWAR-0013
COMPCARE ID NUMBER
IN
Enumeration date
07/31/2006
Last updated
09/11/2025
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