Individual provider Active NPI

Shannon Leanne Toth-Rohde, LCSW

  • Clinical Social Worker
  • Rockwall, TX
National Provider Identifier
1346454378
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27409 Issued in TX
Practice address
1411 Scarboro Hills LN
Rockwall, TX 75087-2429
Phone
(214) 415-7272
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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 27409 TX Primary

Addresses

Primary practice location

1411 Scarboro Hills LN
Rockwall, TX 75087-2429

Mailing address

1411 Scarboro Hills LN
Rockwall, TX 75087-2429
Phone (214) 415-7272

Other identifiers 1

IdentifierTypeStateIssuer
040961702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151214001841 TX Practitioner - Clinical Social Worker 1850692914 Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27409TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1346454378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SCARBORO HILLS LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872429",
            "telephone_number": "214-415-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SCARBORO HILLS LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872429",
            "telephone_number": "214-415-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH-ROHDE",
        "first_name": "SHANNON",
        "middle_name": "LEANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040961702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.