MS. CONNIE C. EDMONDSON (MSW) – Mental Health Counselor, NPI 1730199167

MS. CONNIE C. EDMONDSON (MSW) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 1508 (OK). The NPI Number for MS. CONNIE C. EDMONDSON (MSW) is 1730199167

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MS. CONNIE C. EDMONDSON (MSW)
NPI
1730199167
Phone
(405) 843-1551
Address
6801 BROADWAY EXT
Enumeration Date
8 August 2006
Last Update Date
16 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058431551
Graduation Year
1988 (38 years ago)
PAC ID
2365592490
Group Practice PAC ID
6800946831
Professional Enrollment ID
I20090611000640
Address ID
OK731169037OK6801XEXTX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

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Provider Addresses for MS. CONNIE C. EDMONDSON (MSW)

  • 6801, Broadway Extension, Britton, Oklahoma City, Oklahoma County, Oklahoma, 73116, United States

    STE 320

    OKLAHOMA CITY, OK 731169037

    Phone: (405) 843-1551

    Fax: (405) 843-1494

    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: 2009-06-11

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
I20090611000640IClinical Social WorkerOKTBD

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
90837Psychotherapy, 1 hour34118$0
View full utilization report →

Insurance plans in this area (ZIP 73116)

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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: 6800946831View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Clinical Social WorkerOK
Clinical PsychologistOK

Reviews

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Frequently asked questions

Can I use this page to confirm MS. CONNIE C. EDMONDSON (MSW)'s NPI?
Yes. MS. CONNIE C. EDMONDSON (MSW) is listed with NPI 1730199167 in the public NPI dataset.
Does the file indicate MS. CONNIE C. EDMONDSON (MSW) is practicing under active NPI?
Directory data currently reports MS. CONNIE C. EDMONDSON (MSW) as active.
What is MS. CONNIE C. EDMONDSON (MSW)'s specialty?
The listing groups MS. CONNIE C. EDMONDSON (MSW) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is MS. CONNIE C. EDMONDSON (MSW) based?
MS. CONNIE C. EDMONDSON (MSW) is tied to Oklahoma City, Oklahoma in the data we show; additional addresses may exist on the full record.
Is the information about MS. CONNIE C. EDMONDSON (MSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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