Active NPI
Eve Harriette Bedford, LISW-CP, LCSW
- Clinical Social Worker
- Coral Springs, FL
National Provider Identifier
1336389733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9248
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW1038 | Medicaid | SC |
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 |
|---|---|---|---|
| SW14574 | FL | MD | Clinical 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.