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

Clint Edwards

Individual provider Mental Health Counselor · NPI 1821467705

Clint Edwards is a Clinical Social Worker in Yucca Valley, California. Qualified in 2018, 8 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

58811 Santa Barbara Dr
Yucca Valley, CA 92284-6459
Phone: (760) 702-6188
Fax: (760) 560-5924
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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 106487 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 95-2225798 (CA)

Record details

NPI number1821467705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 21, 2015
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address58811 Santa Barbara Dr, Yucca Valley, CA 92284-6459

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Yucca Valley