Individual provider Active NPI

Michelle G Rhodes, LCSW, ATR-BC, NCPSYA

  • Clinical Social Worker
  • New Paltz, NY
National Provider Identifier
1174615546
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077619 Issued in NY
Practice address
180 Phillies Bridge Rd
New Paltz, NY 12561-2627
Phone
(845) 255-8039
Fax
(845) 255-8039
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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 077619 NY Primary

Addresses

Primary practice location

180 Phillies Bridge Rd
New Paltz, NY 12561-2627

Mailing address

PO Box 233
Gardiner, NY 12525-0233
Phone (845) 255-8039

Other names 1

  • Ms. Michelle Gross Rhodes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110816000038 NY Practitioner - Clinical Social Worker 9032388640 Practice locations: New Paltz, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 Phillies Bridge Rd
New Paltz, NY 12561-2627
Phone (845) 255-8039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077619NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1174615546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125250233",
            "telephone_number": "845-255-8039",
            "fax_number": "845-255-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PHILLIES BRIDGE RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125612627",
            "telephone_number": "845-255-8039",
            "fax_number": "845-255-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "MICHELLE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW, ATR-BC, NCPSYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RHODES",
            "middle_name": "GROSS",
            "prefix": "MS.",
            "credential": "LCSW, ATR-BC, NCPSYA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Paltz, NY

Sources for this page

Verify at the official NPI Registry.