Juan Rodriguez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008066 Issued in NC

Practice address

254 Church Street
Hayesville, NC 28904

Phone

(828) 389-1494

Fax

(828) 389-1343

NPI assigned

Jan 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• D Duncan Sumpter, P.C.,

  • Community/Behavioral Health Agency
  • Murphy, NC
  • NPI 1699799205
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1114257243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289060444",
            "telephone_number": "828-837-0071",
            "fax_number": "828-837-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CHURCH STREET",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "28904",
            "telephone_number": "828-389-1494",
            "fax_number": "828-389-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114257243",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1812A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Radford, MS, ED
• Michael Regan, DDS
• Jessica Rich, LCSW
• Renee D Ricks, RPH
• Justin David Roby, M.D.
• Erinn Kelley Rogers-Gibby
• Rhonda Sue Schlienger, FNP
• Kylie Rebecca Scolaro-Conti, LCSWA
• Kathleen Hines Seacrest, LPA
• Jason H Shook, DDS

• Clinical Social Worker in Hayesville, NC
• Providers in Hayesville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.