Active NPI
Jonadab Samuel Franco, PSYD, LCSW, LISW-CP
- Clinical Social Worker
- Rockingham, NC
National Provider Identifier
1275853103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004437
- Practice address
- 304 E Green St
Rockingham, NC 28379-3423 - Phone
- (910) 817-9181
- Fax
- (800) 878-9353
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7329 | SC | |
| Clinical Social Worker | 1041C0700X | C004437 | NC | Primary |
Addresses
Primary practice location
304 E Green St
Rockingham, NC 28379-3423
Mailing address
304 E Green St
Rockingham, NC 28379-3423
Phone (910) 817-9181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW1383 | Medicaid | SC | |
| 00168663 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100602000823 | NC | Practitioner - Clinical Social Worker | 0042349920 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 21St Century Counseling, PLLC
Practice addresses (Care Compare)
304 E Green St
Rockingham, NC 28379-3423
Phone (910) 817-9181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7329 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 21St Century Counseling, PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1275853103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E GREEN ST",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283793423",
"telephone_number": "910-817-9181",
"fax_number": "800-878-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E GREEN ST",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283793423",
"telephone_number": "910-817-9181",
"fax_number": "800-878-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCO",
"first_name": "JONADAB",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PSYD, LCSW, LISW-CP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "7329",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SW1383",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00168663",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.