Individual provider Active NPI

Sally Elizabeth Rhoads, L.C.S.W., B.C.D.

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1356475339
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KY238 Issued in KY
Practice address
121 Prosperous PL
Suite 4a
Lexington, KY 40509-1800
Phone
(859) 263-2673
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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 KY238 KY Primary

Addresses

Primary practice location

121 Prosperous PL
Suite 4a
Lexington, KY 40509-1800

Mailing address

121 Prosperous PL
Suite 4a
Lexington, KY 40509-1800
Phone (859) 263-2673

Other names 1

  • Mrs. Sally Elizabeth Rhoads Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080804000154 KY Practitioner - Clinical Social Worker 3274607684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 1973
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 Prosperous PL
Suite 4a
Lexington, KY 40509-1828
Phone (859) 263-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
238KYMDAddiction (Substance Use Disorder) Counselor
KY238KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sally E Rhoads LCSW PSC Clinical CurrentSince Jan 8, 2008 Accepting new patients

Locations

121 Prosperous Pl
Ste 4A
Lexington, KY 40509
Phone (859) 263-2673

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1356475339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL",
            "address_2": "SUITE 4A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091800",
            "telephone_number": "859-263-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROSPEROUS PL",
            "address_2": "SUITE 4A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091800",
            "telephone_number": "859-263-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADS",
        "first_name": "SALLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W., B.C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "RHOADS",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "L.C.S.W., PSC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.