Individual provider Active NPI

Regina Ann Rhoades, LCSW

  • Clinical Social Worker
  • North Port, FL
National Provider Identifier
1447893508
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14449 Issued in FL
Practice address
1791 Scarlett Ave
North Port, FL 34289-9477
Phone
(317) 418-3888
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 SW14449 FL Primary

Addresses

Primary practice location

1791 Scarlett Ave
North Port, FL 34289-9477

Mailing address

1791 Scarlett Ave
North Port, FL 34289-9477
Phone (317) 418-3888

Other practice location 1

713 E Marion Ave
Punta Gorda, FL 33950-3872
Phone (317) 418-3888

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Regina.Rhoades@Bayfronthealth.com Punta Gorda HMA LLC

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
SW14449FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Mental Health Services Clinical Current Accepting new patients

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1447893508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 SCARLETT AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899477",
            "telephone_number": "317-418-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 SCARLETT AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899477",
            "telephone_number": "317-418-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 E Marion Ave",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503872",
            "country_code": "US",
            "telephone_number": "317-418-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "REGINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Regina.Rhoades@Bayfronthealth.com",
            "affiliation": "Y",
            "affiliationName": "Punta Gorda HMA LLC",
            "address_1": "733 E Olympia Ave",
            "city": "Punta Gorda",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339503841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.