Individual provider Active NPI

Eve Harriette Bedford, LISW-CP, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1336389733
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9248 Issued in SC
Practice address
7401 Wiles Rd Ste 208
Coral Springs, FL 33067-2036
Phone
(954) 656-8619
Fax
(954) 827-2981
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW14574 FL
Clinical Social Worker 1041C0700X 9248 SC Primary

Addresses

Primary practice location

7401 Wiles Rd Ste 208
Coral Springs, FL 33067-2036

Mailing address

11150 Heron Bay Blvd
Apt 523
Coral Springs, FL 33076-1610
Phone (803) 865-5035

Other identifiers 1

IdentifierTypeStateIssuer
SW1038MedicaidSC

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

LicenseStateTypeSpecialty
SW14574FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336389733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HERON BAY BLVD",
            "address_2": "APT 523",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761610",
            "telephone_number": "803-865-5035",
            "fax_number": "803-865-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 WILES RD STE 208",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672036",
            "telephone_number": "954-656-8619",
            "fax_number": "954-827-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "EVE",
        "middle_name": "HARRIETTE",
        "name_prefix": "Mrs.",
        "credential": "LISW-CP,  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14574",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1038",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.