Active NPI
Rose Ann Rhodes, SOCIAL WORKER
- Clinical Social Worker
- Edmonds, WA
National Provider Identifier
1124385497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW60273729
- Practice address
- 21616 76TH Ave W
Suite 102
Edmonds, WA 98026-7512 - Phone
- (425) 774-1538
- Fax
- (425) 774-5171
- NPI assigned
- Apr 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60273729 | WA | Primary |
Addresses
Primary practice location
21616 76TH Ave W
Suite 102
Edmonds, WA 98026-7512
Mailing address
PO Box 5194
Lynnwood, WA 98046-5194
Phone (425) 774-1538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60273729 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1124385497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5194",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980465194",
"telephone_number": "425-774-1538",
"fax_number": "425-774-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21616 76TH AVE W",
"address_2": "SUITE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267512",
"telephone_number": "425-774-1538",
"fax_number": "425-774-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "ROSE",
"middle_name": "ANN",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60273729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.