EDWARD CHARLES HERMAN (LICSW) – Clinical Social Worker, NPI 1003278755

EDWARD CHARLES HERMAN (LICSW) is a healthcare provider. based in Shelton, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW00009674 (WA). The NPI Number for EDWARD CHARLES HERMAN (LICSW) is 1003278755

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD CHARLES HERMAN (LICSW)
NPI
1003278755
Phone
(360) 580-1054
Address
50 SE BLUFF LOOP RD.
Enumeration Date
22 March 2016
Last Update Date
22 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605453259
Graduation Year
1993 (33 years ago)
PAC ID
2567740889
Professional Enrollment ID
I20161020001326
Address ID
WA985125619OL1820XSWXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for EDWARD CHARLES HERMAN (LICSW)

  • 50 SE BLUFF LOOP RD.

    SHELTON, WA 98584

    Phone: (360) 580-1054

    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: 2016-10-20

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
I20161020001326IClinical Social WorkerWATBD

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
90834Psychotherapy, 45 minutes43519$0
90837Psychotherapy, 1 hour2814$0
View full utilization report →

Insurance plans in this area (ZIP 98584)

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Reviews

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Frequently asked questions

How do payers reference EDWARD CHARLES HERMAN (LICSW)?
For EDWARD CHARLES HERMAN (LICSW), use NPI 1003278755 as the unique 10-digit identifier.
Is EDWARD CHARLES HERMAN (LICSW) shown as active in public data?
Registry records indicate EDWARD CHARLES HERMAN (LICSW) maintains an active NPI.
What area of care is associated with EDWARD CHARLES HERMAN (LICSW)?
EDWARD CHARLES HERMAN (LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Washington is EDWARD CHARLES HERMAN (LICSW) registered?
Use Shelton, Washington as the headline location for EDWARD CHARLES HERMAN (LICSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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