Active NPI
Betty L. Edwards, LCSW
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1508803321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22188
- Practice address
- 4500 S Lancaster Rd
(116A)
Dallas, TX 75216-7167 - Phone
- (214) 857-0960
- NPI assigned
- Jun 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22188 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
(116A)
Dallas, TX 75216-7167
Mailing address
3530 Forest LN
Suite 162
Dallas, TX 75234-7910
Other names 1
- Betty L. Johnson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1508803321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 FOREST LN",
"address_2": "SUITE 162",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"address_2": "(116A)",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-857-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "BETTY",
"middle_name": "L.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "22188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETTY",
"last_name": "JOHNSON",
"middle_name": "L.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.