Individual provider Active NPI

James Rodman Todd, LCSW

  • Clinical Social Worker
  • New Albany, IN
National Provider Identifier
1679708127
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3408 Issued in KY
Practice address
3529 Sundance Dr
New Albany, IN 47150-6511
Phone
(502) 262-8446
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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 3408 KY Primary

Addresses

Primary practice location

3529 Sundance Dr
New Albany, IN 47150-6511

Mailing address

3529 Sundance Dr
New Albany, IN 47150-6511
Phone (502) 262-8446

Other practice location 1

1382 S 3rd St
Louisville, KY 40208-2351
Phone (502) 637-4361 ext. 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200108001942 IN Practitioner - Clinical Social Worker 4385838093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3408KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Nov 20, 2019 Accepting new patients
Lifespring, Inc CurrentSince Nov 20, 2019 Accepting new patients
Wellspring Inc PastSince Nov 16, 2019 Accepting new patients

Locations

404 Spring St
Jeffersonville, IN 47130
Phone (812) 206-1303

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1679708127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 SUNDANCE DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506511",
            "telephone_number": "502-262-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 SUNDANCE DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506511",
            "telephone_number": "502-262-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1382 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402082351",
            "country_code": "US",
            "telephone_number": "502-637-4361 x15",
            "fax_number": "502-637-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "JAMES",
        "middle_name": "RODMAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.