MS. ELIZABETH THEOLA EDWARDS (LCSW) – Clinical Social Worker, NPI 1699984138

MS. ELIZABETH THEOLA EDWARDS (LCSW) is a healthcare provider. based in Sunrise, Florida. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. SW16637 (FL). The NPI Number for MS. ELIZABETH THEOLA EDWARDS (LCSW) is 1699984138

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH THEOLA EDWARDS (LCSW)
NPI
1699984138
Phone
(754) 333-1196
Address
4575 NW 91 AVE
Enumeration Date
22 May 2007
Last Update Date
20 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542883402
Graduation Year
2006 (20 years ago)
PAC ID
1254762115
Professional Enrollment ID
I20200508000032
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. ELIZABETH THEOLA EDWARDS (LCSW)

  • Don Miguel Avenue, Sunrise, Doña Ana County, New Mexico, 88032, United States

    SUNRISE, FL 33351

    Phone: (754) 333-1196

    Fax: (305) 757-4465

    Type: Mailing

  • 14, Southwest 32nd Court, Fort Lauderdale, Broward County, Florida, 33315, United States

    MASTER MIND CARE, INC. ATTN: ELIZABETH EDWARDS

    FT. LAUDERDALE, FL 33311

    Phone: (754) 333-1196

    Fax: (954) 785-6120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200508000032IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour90120$0
View full utilization report →

Insurance plans in this area (ZIP 33351)

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Reviews

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Frequently asked questions

How do payers reference MS. ELIZABETH THEOLA EDWARDS (LCSW)?
For MS. ELIZABETH THEOLA EDWARDS (LCSW), use NPI 1699984138 as the unique 10-digit identifier.
Is MS. ELIZABETH THEOLA EDWARDS (LCSW) shown as active in public data?
Registry records indicate MS. ELIZABETH THEOLA EDWARDS (LCSW) maintains an active NPI.
What kind of doctor is MS. ELIZABETH THEOLA EDWARDS (LCSW)?
MS. ELIZABETH THEOLA EDWARDS (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MS. ELIZABETH THEOLA EDWARDS (LCSW)?
Directory geography for MS. ELIZABETH THEOLA EDWARDS (LCSW) centers on Sunrise, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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