Individual provider Active NPI

Jolene Rod

  • Social Worker
  • Dickinson, ND
National Provider Identifier
1639949647
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6763 Issued in ND
Practice address
1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone
(701) 227-7500
Fax
(701) 227-7575
NPI assigned
Jan 2, 2024
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6763 ND Primary
Specialist 174400000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1463 I94 Business Loop E
Dickinson, ND 58601-6434

Mailing address

1463 I94 Business Loop E
Dickinson, ND 58601-6434
Phone (701) 227-7500

Other practice location 1

2680 Empire Rd Ste A
Dickinson, ND 58601-6816
Phone (701) 456-7675

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
6763NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Badlands Behavioral Health Clinic CurrentSince Apr 21, 2024 Accepting new patients
County of Billings Case Manager/Care Coordinator CurrentSince Jan 1, 2024 Accepting new patients
Badlands Behavioral Health Clinic PastSince Apr 21, 2024 Accepting new patients

Locations

1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500

2680 Empire Rd
Ste A
Dickinson, ND 58601
Phone (701) 456-7675

300 13th Ave W
Ste 1
Dickinson, ND 58601
Phone (701) 227-7500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1639949647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 I94 BUSINESS LOOP E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016434",
            "telephone_number": "701-227-7500",
            "fax_number": "701-227-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 I94 BUSINESS LOOP E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016434",
            "telephone_number": "701-227-7500",
            "fax_number": "701-227-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Empire Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586016816",
            "country_code": "US",
            "telephone_number": "701-456-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROD",
        "first_name": "JOLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "6763",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.