Individual provider Active NPI

Todd J Edwards, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1447696547
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
323 N Maryland Pkwy
Las Vegas, NV 89101-3130
Phone
(702) 385-3330
NPI assigned
May 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

323 N Maryland Pkwy
Las Vegas, NV 89101-3130

Mailing address

1213 Avenue G
Boulder City, NV 89005-2920

Other practice location 1

4040 N Martin L King Blvd Ste A
N Las Vegas, NV 89032-3205
Phone (702) 644-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304004024 NV Practitioner - Clinical Social Worker 1456872688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Christian Health Center Corp CurrentSince Jan 21, 2025 Accepting new patients
Hope Christian Health Center Corp CurrentSince Jan 21, 2025 Accepting new patients
Westcare Nevada Inc Past Accepting new patients
Westcare Nevada Inc Past Accepting new patients

Locations

4040 N Martin L King Blvd
Ste A
North Las Vegas, NV 89032
Phone (702) 644-4673

4357 Corporate Center Dr
Ste 450
North Las Vegas, NV 89030
Phone (702) 644-4673

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1447696547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 AVENUE G",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013130",
            "telephone_number": "702-385-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 N Martin L King Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890323205",
            "country_code": "US",
            "telephone_number": "702-644-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TODD",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.