Active NPI
Earl Ledford, LCSW
- Clinical Social Worker
- Melbourne, FL
National Provider Identifier
1215988993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW0005008
- Practice address
- 1600 W Eau Gallie Blvd
Suite 201U
Melbourne, FL 32935-4149 - Phone
- (321) 213-7370
- Fax
- (321) 241-4939
- NPI assigned
- May 15, 2006
- Last updated
- May 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0005008 | FL | Primary |
Addresses
Primary practice location
1600 W Eau Gallie Blvd
Suite 201U
Melbourne, FL 32935-4149
Mailing address
1600 W Eau Gallie Blvd
Suite 201U
Melbourne, FL 32935-4149
Phone (321) 213-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW0005008 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acf Therapy Associates | Clinical | Past | Accepting new patients |
| Acf Therapy Associates | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Melbourne, FL
- NPI 1366870487
-
- Community/Behavioral Health Agency
- Melbourne, FL
- NPI 1912328121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1215988993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W EAU GALLIE BLVD",
"address_2": "SUITE 201U",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329354149",
"telephone_number": "321-213-7370",
"fax_number": "321-241-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W EAU GALLIE BLVD",
"address_2": "SUITE 201U",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329354149",
"telephone_number": "321-213-7370",
"fax_number": "321-241-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDFORD",
"first_name": "EARL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW0005008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Surgery)
- Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic Suregery)
- Paula Leblanc
- Juan Ramon Lebron, M.D.
- Patricia A. Lebron, ARNP
- Rene Ledford, LCSW, BCBA
- Breanna Ledoux
- Brittney Ledoux
- Caitlyn Irene Lee
- Ken W Lee, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.