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

Edwin Hannah, MSW

Individual provider Clinical Social Worker · NPI 1689207243

Edwin Hannah, MSW is a Clinical Social Worker in Orange Park, Florida. Qualified in 2019, 7 years ago. Practices with River's Edge Counseling PLLC, a 2-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

43 Knight Boxx Rd Ste 1
Orange Park, FL 32065-7395
Phone: (904) 379-8675
Fax: (904) 423-0490
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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 ISW14479 (FL)

Record details

NPI number1689207243
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address43 Knight Boxx Rd Ste 1, Orange Park, FL 32065-7395

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice River'S Edge Counseling Pllc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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