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Active NPI 1225580210 Organization (Entity Type 2)

Edith A. Yoder, Mssa Pc

Social Worker - Clinical • Phoenix, AZ

About Edith A. Yoder, Mssa Pc NPI 1225580210 Summary

Edith A. Yoder, Mssa Pc is a verified healthcare organization specializing in Social Worker - Clinical operating in Phoenix, AZ. Located at 1536 E. MARYLAND AVE, STE C101, this facility provides patient care and medical services under National Provider Identifier (NPI) 1225580210.

Administrative operations and authorized compliance are overseen by Edith Yoder (President).

Facility Location & Contact Primary Location

Facility Address

1536 E. Maryland Ave
Ste C101

Phoenix, AZ 850141470

Telephone 6022662282
Fax 6022661171

Authorized Official Information

Authorized Contact Name

MS. Edith Yoder , MSSA

Title / Role

President

Official Telephone

6022662282

Facility Classifications & Specialties

Social Worker - Clinical Primary Taxonomy

NUCC Taxonomy Code: 1041C0700X

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 26, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2016

Registered at 1536 E. MARYLAND AVE, STE C101, PHOENIX, AZ 850141470 (Tel: 6022662282)

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Updated Business Mailing Address October 26, 2016

Registered at 1536 E. MARYLAND AVE, STE C101, PHOENIX, AZ 850141470 (Tel: 6022662282)

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Organization / Clinic Name Updated October 26, 2016

Operating as EDITH A. YODER, MSSA PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2016

Social Worker (License #LCSW-0658 in AZ)

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Initial NPI Registration & Enumeration October 26, 2016

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1225580210
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 26, 2016
Last Update: October 26, 2016

Mailing Address

1536 E. Maryland Ave, Ste C101

Phoenix, AZ 850141470

Phone: 6022662282

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.