Tracy Lynn Edwards, LCSW
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1295064129
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1295064129
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracy Lynn Edwards
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 24, 2009
- Certification date
- Sep 11, 2025
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW6492 | FL | Yes |
Practice location
836 Prudential Dr Ste 1006Jacksonville, FL 32207-8337
Phone 904-376-3800
Mailing address
Po Box 748519Atlanta, GA 30374-8519
Phone 904-376-3800 · Fax 904-376-3998
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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