Individual provider · Type 1 NPI

Bonita Edmondson, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1861287377 Active

Practice location

3430 Newburg Rd Ste 210
Louisville, KY 40218-2458

Mailing address

3711 Cutler Rd
Louisville, KY 40219-3711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X168832 (KY)
Clinical Social Worker Primary 1041C0700X3039 (KY)

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 1861287377

Bonita Edmondson, LCSW's National Provider Identifier is 1861287377, issued on Apr 14, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Apr 14, 2025.