Active NPI
Elizabeth Perryman, PHD, LCSW, BCD
- Clinical Social Worker
- Eglin AFB, FL
National Provider Identifier
1417366055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4077
- Practice address
- 17 Choctaw Rd
Eglin AFB, FL 32542-1200 - Phone
- (410) 258-4083
- NPI assigned
- Aug 7, 2014
- Last updated
- Aug 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4077 | HI | Primary |
Addresses
Primary practice location
17 Choctaw Rd
Eglin AFB, FL 32542-1200
Mailing address
17 Choctaw Rd
Eglin AFB, FL 32542-1200
Phone (410) 258-4083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW-4077 | Other | HI | HAWAII PROFESSIONAL AND VOCATIONAL LICENSES |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4077 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1417366055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CHOCTAW RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421200",
"telephone_number": "410-258-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CHOCTAW RD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421200",
"telephone_number": "410-258-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRYMAN",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD, LCSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "4077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII PROFESSIONAL AND VOCATIONAL LICENSES",
"identifier": "LCSW-4077",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eglin AFB, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.