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

Individual provider Clinical Social Worker · NPI 1174124036

Reginald Washington Edwards, LCSW is a Clinical Social Worker in Country Club Hills, Illinois. Qualified in 2016, 10 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2020
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

18660 Walnut Ave
Country Club Hills, IL 60478-5549
Phone: (708) 600-5752
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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 149.022583 (IL)

Record details

NPI number1174124036
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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