Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eden Licensed Clinical Social Worker Corporation

Organization Clinical Social Worker · NPI 1528986056

Eden Licensed Clinical Social Worker Corporation is a Clinical Social Worker in Newport Beach, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3857 Birch St # 9105
Newport Beach, CA 92660-2616
Phone: (949) 688-3511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1528986056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Widman — Owner · (949) 688-3511
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJune 17, 2026
Mailing address3857 Birch St # 9105, Newport Beach, CA 92660-2616

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