Individual provider Active NPI

Susan Laura Rhodes, LCSW

  • Clinical Social Worker
  • Waco, TX
National Provider Identifier
1144497637
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32317 Issued in TX
Practice address
1600 Providence Dr
Waco, TX 76707-2261
Phone
(254) 313-4200
Fax
(254) 313-4531
NPI assigned
May 13, 2008
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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 32317 TX Primary

Addresses

Primary practice location

1600 Providence Dr
Waco, TX 76707-2261

Mailing address

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080819000570 TX Practitioner - Clinical Social Worker 0446325898 Reassigns benefits to 2 organizations
Practice locations: Spicewood, TX
I20231214002253 VT Practitioner - Clinical Social Worker 0446325898 Reassigns benefits to 1 organization

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
Connection to Recovery LLCGroup PAC ID 7416374491, 7 clinicians

Practice addresses (Care Compare)

14038 China Spring Rd
Suite 13
China Spring, TX 76633-3450
Phone (512) 334-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc CurrentSince May 4, 2018 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Jan 1, 2024 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Connection to Recovery, LLC Clinical CurrentSince Jun 25, 2019 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince May 4, 2018 Accepting new patients
Northeastern Vermont Regional Hospital, Inc. Past Accepting new patients

Locations

14038 China Spring Rd
#13
China Spring, TX 76633
Phone (512) 334-6449

14038 China Spring Rd
Ste 13
China Spring, TX 76633

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

97 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-3722

97 Sherman Dr
#1
St Johnsbury, VT 05819
Phone (802) 748-5131

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1144497637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200",
            "fax_number": "254-313-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "SUSAN",
        "middle_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.