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

Deeidra S Edmunds, LICSW

Individual provider Clinical Social Worker · NPI 1073077475

Deeidra S Edmunds, LICSW is a Clinical Social Worker in Proctorville, Ohio. Licensed in West Virginia. Registered with an NPI since 2019.

Licensed in
WV
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.

See every abbreviation used in this directory →

Practice location Address checks out

302 State St
Proctorville, OH 45669-5004
Phone: (740) 479-5135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence DP00945394 (WV)

Record details

NPI number1073077475
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022