Individual provider Active NPI

Donald P. Rush, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1063662906
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005000 Issued in NC
Practice address
1900 Randolph Rd
Suite 800
Charlotte, NC 28207-1122
Phone
(704) 384-1246
Fax
(704) 384-6072
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005000 NC Primary

Addresses

Primary practice location

1900 Randolph Rd
Suite 800
Charlotte, NC 28207-1122

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1246

Other practice location 1

9929 Rea Road
Ste 201
Waxhaw, NC 28173-7292
Phone (704) 316-1650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drush259139@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100202000950 NC Practitioner - Clinical Social Worker 6002959855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trolenberg and Company, PAGroup PAC ID 3870984974, 2 clinicians

Practice addresses (Care Compare)

1300 Stonemoor CT
Raleigh, NC 27606-3461

3928 Wendy LN
Raleigh, NC 27606-1865
Phone (919) 859-9768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005000NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Dec 6, 2009 Accepting new patients
Trolenberg and Company, PA Clinical CurrentSince Aug 17, 2021 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Dec 6, 2009 Accepting new patients
Serendipity Therapy, PLLC Clinical CurrentSince Jul 27, 2015 Accepting new patients
Carolinas Medical Center Past Accepting new patients

Locations

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

501 Billingsley Rd
Charlotte, NC 28211
Phone (704) 358-2700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1063662906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1246",
            "fax_number": "704-384-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD",
            "address_2": "SUITE 800",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071122",
            "telephone_number": "704-384-1246",
            "fax_number": "704-384-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9929 Rea Road",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281737292",
            "country_code": "US",
            "telephone_number": "704-316-1650",
            "fax_number": "704-316-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "DONALD",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drush259139@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "9929 Rea Road",
            "address_2": "Ste 201",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281737292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.