Active NPI
Lorraine Edey, LCSW
- Clinical Social Worker
- Palm Bay, FL
National Provider Identifier
1457416109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW0002475
- Practice address
- 4670 Babcock St NE
#5
Palm Bay, FL 32905-2841 - Phone
- (321) 288-0692
- NPI assigned
- Dec 23, 2006
- 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 | CSW004190 | GA | |
| Clinical Social Worker | 1041C0700X | SW0002475 | FL | Primary |
Addresses
Primary practice location
4670 Babcock St NE
#5
Palm Bay, FL 32905-2841
Mailing address
PO Box 100319
Palm Bay, FL 32910-0319
Phone (321) 288-0692
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW0002475 | FL | MD | Clinical Social Worker |
| CSW004190 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1457416109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100319",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329100319",
"telephone_number": "321-288-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 BABCOCK ST NE",
"address_2": "#5",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052841",
"telephone_number": "321-288-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEY",
"first_name": "LORRAINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-23",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004190",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW0002475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.