What is Jack Edmondson's NPI number?

Jack Edmondson's National Provider Identifier (NPI) is 1093987166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Edmondson's specialty?

Jack Edmondson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Jack Edmondson located?

Jack Edmondson's practice location on file with NPPES is 14207 Kendra Way, Poway, CA 92064-3330.

What is Jack Edmondson's phone number?

The practice phone number listed in the NPPES registry for Jack Edmondson is (858) 748-7093.

Is Jack Edmondson's NPI active?

Yes — Jack Edmondson's NPI (1093987166) is active in the NPPES registry as of the last update on 2008-03-29.

IndividualActive

Jack Edmondson, LCSW

NPI 1093987166 · Clinical Social Worker · Poway, CA

Jack Edmondson, LCSW is a Clinical Social Worker provider in Poway, CA (NPI 1093987166).

Provider details

NPI number: 1093987166
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: 1903 (CA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 1903 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

14207 Kendra Way

Poway, CA 92064-3330

Phone: (858) 748-7093

Street-level locationGet directions

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Mailing address