Individual provider Active NPI

Elizabeth Dawn Reed, LISW-S

  • Clinical Social Worker
  • Edenton, NC
National Provider Identifier
1649562885
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0027648-SUPV Issued in OH
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

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12236675OtherOHNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
I.0027648-SUPVOHMDClinical Social Worker
0904011629VAMDClinical Social Worker
DP00943612WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Reed, MSW, LCSW, PLLC CurrentSince Dec 5, 2021 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.

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.

Verify at the official NPI Registry.