Individual provider Active NPI

Rhonda Genae Patrick, LCSW-S, PHD

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1366718157
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26644 Issued in TX
Practice address
2631 Gattis School Rd Ste 440
Round Rock, TX 78664-2822
Phone
(512) 368-2809
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26644 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26644 TX
Mental Health Counselor 101YM0800X 26644 TX

Addresses

Primary practice location

2631 Gattis School Rd Ste 440
Round Rock, TX 78664-2822

Mailing address

2631 Gattis School Rd
Ste 455
Round Rock, TX 78664-2969
Phone (713) 397-9098

Other identifiers 1

IdentifierTypeStateIssuer
26644OtherTXSOCIAL WORK LICENSE

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
I20250205001301 TX Practitioner - Clinical Social Worker 1052740305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2631 Gattis School Rd
Suite 455
Round Rock, TX 78664-2969
Phone (512) 368-2809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26644TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole MBR CurrentSince Jan 1, 2020 Accepting new patients
Virtual Counselors, LLC. Addiction (Substance Use Disorder) Current Accepting new patients
Oakvine Recovery Center LLC Addiction (Substance Use Disorder) CurrentSince Nov 1, 2024 Accepting new patients
Finch Clinic, PLLC. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

2631 Gattis School Rd
Ste 455
Round Rock, TX 78664
Phone (512) 368-2809

2631 Gattis School Rd
Ste 440
Round Rock, TX 78664
Phone (512) 368-2809

1901 E Palm Valley Blvd
Ste 220
Round Rock, TX 78664
Phone (512) 610-0735

Organizations & group practices 4

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1366718157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 GATTIS SCHOOL RD",
            "address_2": "STE 455",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642969",
            "telephone_number": "713-397-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 GATTIS SCHOOL RD STE 440",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642822",
            "telephone_number": "512-368-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "RHONDA",
        "middle_name": "GENAE",
        "credential": "LCSW-S, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "26644",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "26644",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "26644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "26644",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.