AMBER EDWARDS (LCSW) – Clinical Social Worker, NPI 1215322813

AMBER EDWARDS (LCSW) is a healthcare provider. based in Kennesaw, Georgia. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 010303 (CT). The NPI Number for AMBER EDWARDS (LCSW) is 1215322813

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMBER EDWARDS (LCSW)
NPI
1215322813
Phone
(203) 446-6314
Address
PO Box 1662
Enumeration Date
31 March 2015
Last Update Date
21 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604966666
Graduation Year
2014 (12 years ago)
PAC ID
8426300062
Group Practice PAC ID
4486557501
Professional Enrollment ID
I20181010001395
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for AMBER EDWARDS (LCSW)

  • PO Box 1662

    Kennesaw, GA 301568662

    Phone: (203) 446-6314

    Type: Location

  • 540 LITCHFIELD ST

    TORRINGTON, CT 067906679

    Phone: (860) 496-6493

    Type: Mailing

  • PO BOX 1662

    KENNESAW, GA 301568662

    Phone: (203) 446-6314

    Type: Mailing

  • 555 HIGHLAND AVE

    CHESHIRE, CT 064102255

    Phone: (203) 446-6314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181010001395IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30156)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486557501View full group profile
NameSpecialtyState
Radiation OncologyCT
N E U R O L O G YCT
O T O L A R Y N G O L O G YCT
-CT
Clinical Social WorkerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Physician AssistantCT
Hospitalist, Internal MedicinePA
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

Can I use this page to confirm AMBER EDWARDS (LCSW)'s NPI?
Yes. AMBER EDWARDS (LCSW) is listed with NPI 1215322813 in the public NPI dataset.
Does the file indicate AMBER EDWARDS (LCSW) is practicing under active NPI?
Directory data currently reports AMBER EDWARDS (LCSW) as active.
What is AMBER EDWARDS (LCSW)'s specialty?
The listing groups AMBER EDWARDS (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is AMBER EDWARDS (LCSW) based?
AMBER EDWARDS (LCSW) is tied to Kennesaw, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about AMBER EDWARDS (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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