Individual provider Active NPI

Jonathan Leallan Rhoades, LCSW

  • Clinical Social Worker
  • Marion, NC
National Provider Identifier
1760614077
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006475 Issued in NC
Practice address
81 W Fort St
Marion, NC 28752-4930
Phone
(828) 559-0073
Fax
(828) 639-8058
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 C006475 NC Primary

Addresses

Primary practice location

81 W Fort St
Marion, NC 28752-4930

Mailing address

PO Box 3387
Morganton, NC 28680-3387
Phone (828) 559-0073

Other practice location 1

506 Pollock St
New Bern, NC 28562-5612
Phone (252) 288-6325

Other practice location 2

408 S McNeill St
Carthage, NC 28327-8987
Phone (910) 852-9660

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
C006475NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southmountain Children & Family Services Past Accepting new patients
Southmountain Children and Family Services Clinical Past Accepting new patients

Organizations & group practices 2

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1760614077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3387",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286803387",
            "telephone_number": "828-559-0073",
            "fax_number": "828-639-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W FORT ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524930",
            "telephone_number": "828-559-0073",
            "fax_number": "828-639-8058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Pollock St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625612",
            "country_code": "US",
            "telephone_number": "252-288-6325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 S McNeill St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NC",
            "postal_code": "283278987",
            "country_code": "US",
            "telephone_number": "910-852-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "JONATHAN",
        "middle_name": "LEALLAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.