Active NPI
Trudy Rodkin Tobias, LCSW
- Clinical Social Worker
- Eden, NC
National Provider Identifier
1235541913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006404
- Practice address
- 117 E Kings Hwy
Eden, NC 27288-5201 - Phone
- (336) 623-9711
- Fax
- (336) 627-8517
- NPI assigned
- May 29, 2014
- 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 | C006404 | NC | Primary |
Addresses
Primary practice location
117 E Kings Hwy
Eden, NC 27288-5201
Mailing address
117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711
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 |
|---|---|---|---|
| C006404 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1235541913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-627-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E KINGS HWY",
"city": "EDEN",
"state": "NC",
"postal_code": "272885201",
"telephone_number": "336-623-9711",
"fax_number": "336-627-8517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "TRUDY",
"middle_name": "RODKIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
- The Moses H Cone Memorial Hospital Operating Corporation (Cone Health Community Pharmacy at Eden)
- The Sparrow's Tomorrow Counseling Services, PLLC
- Aaron Bradley Thompson, MD
- Matthew Chase Thompson, D.C.
- Cheyenne Wilson Tilley, PA-C
- Total Renal Care of North Carolina LLC (Dialysis Care of Rockingham County)
- David B Tucker, DPM
- John David Turner, MD
- William Lee Turner, O.D.
- Ultimate Care Assisted Living Facility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.