Individual provider · Type 1 NPI

Shanice Rose Edwards

Clinical Social Worker · San Bernardino, CA

NPI number 1821654252 Active

Practice location

325 W Hospitality Ln Ste 112
San Bernardino, CA 92408-3211

Other practice locations

  • 1908 Business Center Dr, San Bernardino, CA 92408-3436 · (909) 890-5930

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X141445 (CA)
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor 101YM0800X141445 (CA)

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 1821654252

Shanice Rose Edwards's National Provider Identifier is 1821654252, issued on May 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 27, 2026.