Individual provider Active NPI

Rodrica Michael Jones, PH.D.,LICSW, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1255755765
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7061-C Issued in NV
Practice address
6900 N Pecos Rd, Building 5, RM 2F248
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Feb 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079906 DC
Clinical Social Worker 1041C0700X 17192 MD
Clinical Social Worker 1041C0700X 7061-C NV Primary

Addresses

Primary practice location

6900 N Pecos Rd, Building 5, RM 2F248
North Las Vegas, NV 89086-4400

Mailing address

3350 N Durango Dr
Apt. 2087
Las Vegas, NV 89129-7266

Other practice location 1

8275 S Eastern Ave
Suite 200
Las Vegas, NV 89123-2591
Phone (301) 642-4414

Other names 1

  • Dr. Rod Michael Jones Other name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC50079906DCMDClinical Social Worker
7061-CNVMDClinical Social Worker
17192MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1255755765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 N DURANGO DR",
            "address_2": "APT. 2087",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD, BUILDING 5, RM 2F248",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8275 S Eastern Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891232591",
            "country_code": "US",
            "telephone_number": "301-642-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "RODRICA",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17192",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7061-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROD",
            "last_name": "JONES",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.