TERRY BERNARD EDWARDS (NPI# 1336386655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336386655 |
| Entity Type | Individual |
| Full Name | TERRY BERNARD EDWARDS |
| Credential | LMSW |
| Practice Address |
5834 Adenmoor Ave Lakewood CA 90713-1002 |
| Mailing Address |
255 W 5th St Apt 122 San Pedro CA 90731-3389 |
| Practice Telephone | 3039898169 |
| Mailing Telephone | 9016055128 |
| Mailing Fax Number | 2132679077 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 3841-M | AR | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 2016031084 | MO | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668740 | Terry Lynn Edwards | Clinic/Center | 2527 Dotsero Ct, Loveland, CO 80538-3070 | 2020-04-26 |
| 1912338344 | Terry Arlene Edwards | Counselor | 10558 Mehaffey Rd, Midland, GA 31820-5025 | 2013-12-11 |
| 1740337872 | Terry Edwards | Psychologist | 417 Welshwood Dr, Suite 206, Nashville, TN 37211-4209 | 2007-01-04 |
| 1437217205 | Terry Wayne Edwards | Physician Assistant | 5306 Climber Ct, Houston, TX 77041-5504 | 2006-12-05 |
| 1811912991 | Terry Scott Edwards | Family Medicine | 4535 Valley Commons Dr Ste 104, Bozeman, MT 59718-4161 | 2006-07-12 |
| 1316279821 | Terry Edwards Jr. | Social Worker | 5111 Auto Club Dr, 112, Dearborn, MI 48126-2749 | 2010-02-08 |
| 1700082476 | Terry Edwards | Marriage & Family Therapist | 17705 Hale Ave Ste H6, Morgan Hill, CA 95037-4347 | 2007-06-21 |
| 1700811825 | Terry H Edwards | Internal Medicine | 717 Encino Pl Ne, Suite 3, Albuquerque, NM 87102-2611 | 2006-07-11 |
| Street Address |
5834 ADENMOOR AVE |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90713-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477629939 | Molthen Chiropractic | Chiropractor | 5834 Adenmoor Ave, Lakewood, CA 90713 | 2006-11-28 |
| 1649806829 | Vale Siess | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-19 |
| 1831725589 | Monica Attardo | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1740816495 | David Fobbs | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1659907301 | Jazmin Alatorre | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1386270031 | Jacasta Barber-holmes | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1194351841 | Verlin Sandoval | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1003442757 | Astrith Avila | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1912533662 | Terryne Love | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| 1821624578 | Princess Jones | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470026 | Blue Horizon Homes, LLC | Residential Treatment Facility, Physical Disabilities | 4340 Conquista Ave., Lakewood, CA 90713 | 2016-11-28 |
| 1083033104 | Support for Mothers | Lactation Consultant, Non-RN | 5313 Briercrest Ave, Lakewood, CA 90713 | 2014-04-16 |
| 1477972990 | Denise Marie Estrada | Acupuncturist | 4136 Woodruff Avenue, Lakewood, CA 90713 | 2014-04-11 |
| 1013176130 | Larry J Gottlieb Inc A Professional Corporation | Optometrist | 6418 E Del Amo Blvd, Lakewood, CA 90713 | 2008-06-04 |
| 1750405718 | Dean Luong & Donald Luong Dds, Inc | Dentist | 4180 Woodruff Ave, Lakewood, CA 90713 | 2007-03-16 |
| 1093809709 | Kelli Lynn Molthen | Chiropractor | 5834 Adenmoor Ave., Lakewood, CA 90713 | 2006-10-03 |
| 1407124290 | Lakewood Cerritos Dental Ctrs | Dentist | 5819 Adenmoor Ave, Lakewood, CA 90713 | 2011-12-07 |
| 1801191424 | Hang Thuy Nguyen | Pharmacist | 4226 Woodruff Ave, Vons #1638, Lakewood, CA 90713 | 2011-01-12 |
| 1013195056 | Chiropractic Massage & Nutrition | Chiropractor | 5836 Bellflower Blvd, Lakewood, CA 90713 | 2008-02-01 |
| 1376800268 | Center for Behavior Analysis & Language Development | Behavioral Analyst | 5840 Adenmoor Ave, Suite 105, Lakewood, CA 90713-1002 | 2012-04-16 |
| Find all providers in zip 90713 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402732 | Lara O'shaughnessy | Social Worker | 1020 Upham St, Lakewood, CO 80214-4219 | 2020-06-25 |
| 1164053591 | Jennifer Johnstone | Social Worker | 14701 Detroit Ave Ste 620, Lakewood, OH 44107-4180 | 2020-02-04 |
| 1013563162 | Tabitha Kay Shackleton | Social Worker | 6632 W Mississippi Way, Lakewood, CO 80232-5668 | 2019-08-14 |
| 1669026928 | Nicole Versaw | Social Worker | 1512 S Owens St Apt 231, Lakewood, CO 80232-6009 | 2019-07-25 |
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1740740273 | Stephanie Summers | Social Worker | 5409 W 16th Ave, Lakewood, CO 80214-1732 | 2019-03-21 |
| 1629545942 | Cara Jane Thornburg | Social Worker | 2381 Garland St, Lakewood, CO 80215-1631 | 2018-10-24 |
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1578059903 | Sky Therapy | Social Worker | 41 Carasaljo Dr, Lakewood, NJ 08701-2309 | 2018-07-09 |
| 1336645498 | Nicole Margaret Craig | Social Worker | 17317 Madison Ave Apt 12, Lakewood, OH 44107-3568 | 2018-04-05 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.