Dianeven Edouard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20701 Issued in FL

Practice address

2151 45TH St Ste 210
West Palm Beach, FL 33407-2015

Phone

(863) 261-8354

Fax

(863) 638-5637

NPI assigned

Sep 3, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Health Haven LLC

  • Community/Behavioral Health Agency
  • Okeechobee, FL
  • NPI 1265824858
  NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1689409377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST STE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072015",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4776 Via Bari Apt 6305",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334636793",
            "country_code": "US",
            "telephone_number": "561-664-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "DIANEVEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Edens, MD
• Laura E Edge, REGISTERED INTERN SW
• William Kirby Edge, PA
• Darlene M Edic-Crawford, APRN
• Cheryel Edney
• Reginald Edouard
• Wilmide Edouard, SOLE PROPRIETOR
• John Edouassaint
• Laura Edstrom-Smith
• Edward J Penza

• Clinical Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.