Edward Robert Tejeiro Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9236 Issued in FL

Practice address

505 S Federal Hwy
Deerfield Beach, FL 33441-4109

Phone

(954) 880-2730

NPI assigned

Jul 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lev Therapy

  • Clinical Social Worker
  • Miami, FL
  • NPI 1194525071
  NPD

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1376928440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 NE 20TH CT",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051085",
            "telephone_number": "954-256-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414109",
            "telephone_number": "954-880-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEIRO",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisoula Taylor, LAPC
• Miesha Taylor
• Harout Tchoulhakian, D.C.
• Carli Teixeira
• Gilbert Teixeira, DO
• Tigist Tekle
• Widline Telami
• Telehealth Doctors Network, LLC
• Tellus LLC
• Melissa Ashley Telsey

• Clinical Social Worker in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.