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

Individual provider Clinical Social Worker · NPI 1912554403

Boonmee Pakviset Edwards, LICSW is a Clinical Social Worker in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4600 18th Ave NW
Rochester, MN 55901-2116
Phone: (507) 287-2010
Fax: (507) 287-7805
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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 · Licence 25675 (MN)

Record details

NPI number1912554403
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESAugust 20, 2019

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