Active NPI
Elizabeth Dawn Reed, LISW-S
- Clinical Social Worker
- Edenton, NC
National Provider Identifier
1649562885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0027648-SUPV
- Practice address
- 117 Cowpen Neck Rd
Edenton, NC 27932-9184 - Phone
- (252) 335-2018
- NPI assigned
- May 6, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | DP00943612 | WV | |
| Clinical Social Worker | 1041C0700X | 0904011629 | VA | |
| Clinical Social Worker | 1041C0700X | C009470 | NC | |
| Clinical Social Worker | 1041C0700X | I.0027648-SUPV | OH | Primary |
Addresses
Primary practice location
117 Cowpen Neck Rd
Edenton, NC 27932-9184
Mailing address
1129 Horseshoe Rd
Elizabeth City, NC 27909-8507
Phone (740) 238-0837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12236675 | Other | OH | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | albemarlecounseling9@embarqmail.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0027648-SUPV | OH | MD | Clinical Social Worker |
| 0904011629 | VA | MD | Clinical Social Worker |
| DP00943612 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Reed, MSW, LCSW, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Edenton, NC
- NPI 1114684958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1649562885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 HORSESHOE RD",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279098507",
"telephone_number": "740-238-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 COWPEN NECK RD",
"city": "EDENTON",
"state": "NC",
"postal_code": "279329184",
"telephone_number": "252-335-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "ELIZABETH",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00943612",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011629",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009470",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0027648-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "12236675",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "albemarlecounseling9@embarqmail.com",
"affiliation": "N",
"address_1": "1129 Horseshoe Rd",
"city": "Elizabeth City",
"state": "NC",
"country_code": "US",
"postal_code": "279098507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.