Active NPI
Terry Bernard Edwards, LMSW
- Social Worker
- Los Angeles, CA
National Provider Identifier
1336386655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-3841-M
- Practice address
- 11301 Wilshire Blvd
Los Angeles, CA 90073-1003 - Phone
- (818) 891-7711
- NPI assigned
- Jan 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2016031084 | MO | |
| Social Worker | 104100000X | LMSW-3841-M | AR | Primary |
| Social Worker | 104100000X | 3841-M | AR | |
| Social Worker | 104100000X | SC61625487 | WA |
Addresses
Primary practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Mailing address
338 W 35TH St
San Pedro, CA 90731-6896
Phone (901) 605-5128
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3841-M | AR | MD | Social Worker |
| LMSW-3841-M | AR | MD | Social Worker |
| 2016031084 | MO | MD | Social Worker |
| SC61625487 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients | |
| Sentience Psychotherapy LLC | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Little Rock, AR
- NPI 1912962341
-
- Adolescent and Children Mental Health Clinic/Center
- White Hall, AR
- NPI 1649542366
-
- Adult Mental Health Clinic/Center
- Vancouver, WA
- NPI 1427837624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1336386655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 W 35TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907316896",
"telephone_number": "901-605-5128",
"fax_number": "213-267-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "818-891-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "TERRY",
"middle_name": "BERNARD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2016031084",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "LMSW-3841-M",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "3841-M",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "SC61625487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.