Active NPIIndividual provider

Devonta R Edwards, LICSW

Social Worker, Clinical in Holliston, Massachusetts

NPI Number1275207797
Practice location
39 Ruth Ellen RD, Holliston, MA 01746-1215
Fax
919-717-2804
Last updated
October 8, 2025

Devonta Rayshaun Edwards is a Social Worker, Clinical based in Holliston, MA. Devonta Rayshaun Edwards practices in Holliston, MA and has the professional credentials of LICSW. The NPI Number for Devonta Rayshaun Edwards is 1275207797 and holds a License No. 127430 (MA). The current practice location address for Devonta Rayshaun Edwards is 39 Ruth Ellen RD, Holliston, MA 01746-1215 and can be reached out via phone at 919-717-2804 and via fax at 919-717-2804.

Provider Profile Details

NPI Number
1275207797
Provider Name
Devonta Rayshaun Edwards
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
39 Ruth Ellen RD, Holliston, MA 01746-1215
Phone Number
919-717-2804
Fax Number
919-717-2804
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2021
Last Update Date
October 8, 2025
Certification Date
October 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Ruth Ellen RD
Holliston, MA 01746-1215
Zip
01746-1215
Phone Number
919-717-2804
Fax Number
919-717-2804
Holliston, MA 01746Get directions →

Provider Business Mailing Address Details

Address
39 Ruth Ellen RD
Holliston, MA 01746-1215
City
Holliston
State
MA
Zip
01746-1215
Phone Number
919-717-2804
Fax Number
919-717-2804

License Information

License Number
127430
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Devonta R Edwards, LICSW?

The NPI number of Devonta R Edwards, LICSW is 1275207797. It was assigned on August 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Devonta R Edwards, LICSW?

Devonta R Edwards, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 127430.

Where does Devonta R Edwards, LICSW practice?

The practice location is 39 Ruth Ellen RD, Holliston, MA 01746-1215. The office can be reached at 919-717-2804 (phone) or 919-717-2804 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275207797 directly on the NPPES registry website.

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