Individual provider Active NPI

Jonathan Michael Blackwell-Rodgers, LCSW LMSW

  • Clinical Social Worker
  • Lehighton, PA
National Provider Identifier
1578868816
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW027115 Issued in PA
Practice address
371 S 2ND St
Lehighton, PA 18235-2145
Phone
(610) 577-6092
NPI assigned
Jan 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW027115 PA Primary
Social Worker 104100000X SW12893 PA

Addresses

Primary practice location

371 S 2ND St
Lehighton, PA 18235-2145

Mailing address

371 S 2ND St
Lehighton, PA 18235-2145
Phone (610) 577-6092

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
SW12893PAMDSocial Worker
CW027115PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baseline Therapeutic Services LLC Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jonathan.blackwell.rodgers.1@32853.direct.athenahealth.com

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1578868816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 S 2ND ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352145",
            "telephone_number": "610-577-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 S 2ND ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352145",
            "telephone_number": "610-577-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL-RODGERS",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027115",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW12893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.