SUSAN L EDWARDS (MSW, LICSW) – Clinical Social Worker, NPI 1174150270

SUSAN L EDWARDS (MSW, LICSW) is a healthcare provider. based in Anacortes, Washington. specializing in Clinical Social Worker. They hold the professional credentials MSW, LICSW. They hold a License No. LW00007514 (WA). The NPI Number for SUSAN L EDWARDS (MSW, LICSW) is 1174150270

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN L EDWARDS (MSW, LICSW)
NPI
1174150270
Phone
(360) 293-3101
Address
1213 24TH ST STE 100
Enumeration Date
26 March 2020
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602933101
Graduation Year
1994 (32 years ago)
PAC ID
4385066711
Group Practice PAC ID
1153225198
Professional Enrollment ID
I20200612000124
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for SUSAN L EDWARDS (MSW, LICSW)

  • 1213 24TH ST STE 100

    ANACORTES, WA 982212595

    Phone: (360) 293-3101

    Type: Mailing

  • 1211 24TH ST

    ANACORTES, WA 982212562

    Phone: (360) 299-4945

    Fax: (360) 299-4269

    Type: Mailing

  • 2511 M AVE STE G

    ANACORTES, WA 982213897

    Phone: (360) 299-4297

    Fax: (360) 299-4294

    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: 2020-06-12

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
I20200612000124IClinical 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.

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

Insurance plans in this area (ZIP 98221)

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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: 1153225198View full group profile
NameSpecialtyState
Physician AssistantWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists)FL
-WA
-NV
Family PracticeOR
-WA
-WA
Family PracticeMT
-NC

Reviews

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Frequently asked questions

Does SUSAN L EDWARDS (MSW, LICSW) have a public NPI I can cite?
Public records show SUSAN L EDWARDS (MSW, LICSW) under NPI 1174150270.
Quick check: is SUSAN L EDWARDS (MSW, LICSW) active?
Public NPPES data shows SUSAN L EDWARDS (MSW, LICSW) with an active NPI status right now.
What type of care does SUSAN L EDWARDS (MSW, LICSW) provide?
SUSAN L EDWARDS (MSW, LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is SUSAN L EDWARDS (MSW, LICSW) tied to Anacortes, Washington?
If you are local to Anacortes, Washington, SUSAN L EDWARDS (MSW, LICSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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