Active NPI
Jordan Leigh Rhodes, LISW, MSW
- Clinical Social Worker
- Boardman, OH
National Provider Identifier
1023567740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1801107
- Practice address
- 4822 Market St
Boardman, OH 44512-2148 - Phone
- (330) 544-8005
- Fax
- (330) 544-9379
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1600786 | OH | |
| Clinical Social Worker | 1041C0700X | I.1801107 | OH | Primary |
Addresses
Primary practice location
4822 Market St
Boardman, OH 44512-2148
Mailing address
4822 Market St
Boardman, OH 44512-2148
Phone (330) 544-8005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Boardman Canfield Rd
Suite L1
Boardman, OH 44512-4370
Phone (330) 330-8655
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.34 of 100
- Quality
- 20.12
- Improvement activities
- 0
- Cost
- 84.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600786 | OH | MD | Social Worker |
| I.1801107 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajendra P Koirala, M.D., LLC | Current | Accepting new patients | |
| Psycare, Inc. | Current | Accepting new patients | |
| Psy-Care Inc | Clinical | Current | Accepting new patients |
| Cadence Care Network | Past | Accepting new patients |
Locations
725 Boardman Canfield Rd
Ste L1
Youngstown, OH 44512
Phone (330) 330-8655
2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Youngstown, OH
- NPI 1760977177
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1396705349
Clinical
-
- Community/Behavioral Health Agency
- Struthers, OH
- NPI 1104462589
-
- Adolescent and Children Mental Health Clinic/Center
- Niles, OH
- NPI 1558339762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1023567740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4822 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445122148",
"telephone_number": "330-544-8005",
"fax_number": "330-544-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445122148",
"telephone_number": "330-544-8005",
"fax_number": "330-544-9379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "JORDAN",
"middle_name": "LEIGH",
"credential": "LISW, MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1600786",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1801107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.