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

Individual provider Clinical Social Worker · NPI 1043084114

Edward Boris Blyther, LCSW is a Clinical Social Worker in Wilmington, North Carolina. Practices as a sole proprietor and works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 341-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 309 Progress Dr, Burgaw, NC 28425-3280 — (910) 259-0668
  • 330 Shipyard Blvd, Wilmington, NC 28412-1837 — (919) 515-4081

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C020027 (NC)

Record details

NPI number1043084114
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 9, 2023
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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