REGINALD WASHINGTON EDWARDS (LCSW) – Clinical Social Worker, NPI 1174124036

REGINALD WASHINGTON EDWARDS (LCSW) is a healthcare provider. based in Country club hills, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.022583 (IL). The NPI Number for REGINALD WASHINGTON EDWARDS (LCSW) is 1174124036

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
REGINALD WASHINGTON EDWARDS (LCSW)
NPI
1174124036
Phone
(708) 600-5752
Address
18660 WALNUT AVE
Enumeration Date
5 November 2020
Last Update Date
5 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473163320
Graduation Year
2016 (10 years ago)
PAC ID
1153735824
Group Practice PAC ID
2365798410
Professional Enrollment ID
I20210121000906
Address ID
IL602022724EV500XXAVEX300

Contacts

Other Endpoint
GMAIL
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for REGINALD WASHINGTON EDWARDS (LCSW)

  • 18660 WALNUT AVE

    COUNTRY CLUB HILLS, IL 604785549

    Phone: (708) 600-5752

    Mailing address matches the actual address.

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: 2021-01-21

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
I20210121000906IClinical Social WorkerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes30141$0
90834Psychotherapy, 45 minutes17543$0
90837Psychotherapy, 1 hour17240$0
90791Psychiatric diagnostic evaluation1211$0
View full utilization report →

Insurance plans in this area (ZIP 60478)

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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: 2365798410View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm REGINALD WASHINGTON EDWARDS (LCSW)'s NPI?
Yes. REGINALD WASHINGTON EDWARDS (LCSW) is listed with NPI 1174124036 in the public NPI dataset.
Can I rely on REGINALD WASHINGTON EDWARDS (LCSW) being an active provider?
As of the registry snapshot, REGINALD WASHINGTON EDWARDS (LCSW) is marked active.
What is REGINALD WASHINGTON EDWARDS (LCSW) best known for clinically?
Directory data describes REGINALD WASHINGTON EDWARDS (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does REGINALD WASHINGTON EDWARDS (LCSW) serve?
REGINALD WASHINGTON EDWARDS (LCSW)'s listing highlights Country Club Hills, Illinois; more addresses can appear in NPPES.
Why does REGINALD WASHINGTON EDWARDS (LCSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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