Individual provider Active NPI

James Harold Rhoden III, LCSW-C

  • Clinical Social Worker
  • Millersville, MD
National Provider Identifier
1366212714
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25619 Issued in MD
Practice address
613 Waterwheel LN Apt 31
Millersville, MD 21108-2335
Phone
(667) 214-6775
Fax
(443) 508-7052
NPI assigned
Jan 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 25619 MD Primary

Addresses

Primary practice location

613 Waterwheel LN Apt 31
Millersville, MD 21108-2335

Mailing address

2315 Saint Paul St Apt 108
Baltimore, MD 21218-5384
Phone (667) 214-6775

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25619MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1366212714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SAINT PAUL ST APT 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185384",
            "telephone_number": "667-214-6775",
            "fax_number": "443-508-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WATERWHEEL LN APT 31",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082335",
            "telephone_number": "667-214-6775",
            "fax_number": "443-508-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODEN",
        "first_name": "JAMES",
        "middle_name": "HAROLD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.