Active NPI
Jonathan Leallan Rhoades, LCSW
- Clinical Social Worker
- Marion, NC
National Provider Identifier
1760614077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006475
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C006475 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Nurse Practitioner
- Carthage, NC
- NPI 1437623170
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.