Individual provider · Type 1 NPI

Theo Edwards

Clinical Social Worker · Kansas, OK

NPI number 1194369892 Active

Practice location

211 N Highway 59
Kansas, OK 74347-7076

Mailing address

207 N. Hwy 59, Kansas Ok
Kansas, OK 74347-0000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20136 (OK)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194369892

Theo Edwards's National Provider Identifier is 1194369892, issued on Nov 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas, OK. The record was last updated on Nov 28, 2025.