Individual provider Active NPI

Elizabeth Theola Edwards, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1699984138
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16637 Issued in FL
Practice address
9062 NW 23Rd St Unit E
Coral Springs, FL 33065-5101
Phone
(954) 780-6658
Fax
(754) 755-1009
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW16637 FL
Mental Health Counselor 101YM0800X SW16637 FL
Clinical Social Worker 1041C0700X SW16637 FL Primary
School Social Worker 1041S0200X SW16637 FL

Addresses

Primary practice location

9062 NW 23Rd St Unit E
Coral Springs, FL 33065-5101

Mailing address

9062 NW 23Rd St Unit E
Coral Springs, FL 33065-5101
Phone (954) 780-6658

Other identifiers 1

IdentifierTypeStateIssuer
MH684OtherFLMEDICARE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508000032 FL Practitioner - Clinical Social Worker 1254762115 Reassigns benefits to 1 organization
Practice locations: Ft Lauderdale, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leverage Health, Inc. CurrentSince Nov 6, 2020 Accepting new patients
Spectrum Programs Inc Mental Health Past Accepting new patients

Locations

6018 SW 18th St
Ste C11
Boca Raton, FL 33433
Phone (561) 417-8383

2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1699984138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9062 NW 23RD ST UNIT E",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655101",
            "telephone_number": "954-780-6658",
            "fax_number": "754-755-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9062 NW 23RD ST UNIT E",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655101",
            "telephone_number": "954-780-6658",
            "fax_number": "754-755-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ELIZABETH",
        "middle_name": "THEOLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW16637",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW16637",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16637",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW16637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "MH684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.