Active NPI
Ryan Rebecca Rote, LCSW
- Clinical Social Worker
- Havelock, NC
National Provider Identifier
1336459478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012222
- Practice address
- 4389 Beaufort Road
Havelock, NC 28532 - Phone
- (252) 466-0500
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- 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 | C012222 | NC | Primary |
| Social Worker | 104100000X | 9780 | LA |
Addresses
Primary practice location
4389 Beaufort Road
Havelock, NC 28532
Mailing address
200 Walkers Cay CT
Cedar Point, NC 28584-8104
Other practice location 1
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547
Phone (252) 258-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9780 | LA | MD | Professional Counselor |
| C012222 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1336459478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WALKERS CAY CT",
"city": "CEDAR POINT",
"state": "NC",
"postal_code": "285848104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 BEAUFORT ROAD",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "28532",
"telephone_number": "252-466-0500"
}
],
"practiceLocations": [
{
"address_1": "100 Brewster Blvd",
"address_2": "Naval Hospital",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "28547",
"country_code": "US",
"telephone_number": "252-258-1230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTE",
"first_name": "RYAN",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012222",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "9780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.