Cerissa Payment Rhodes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009840 Issued in NC

Practice address

1241 N Road St
Elizabeth City, NC 27909-3335

Phone

(252) 368-9124

NPI assigned

Mar 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cerissa C Payment Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Your Story Rewritten, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elizabeth City, NC
  • NPI 1427748276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1851532170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093335",
            "telephone_number": "808-375-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093335",
            "telephone_number": "252-368-9124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Church St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279094510",
            "country_code": "US",
            "telephone_number": "252-331-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYMENT RHODES",
        "first_name": "CERISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CERISSA",
            "last_name": "PAYMENT",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pathology Associates II of Eastern North Carolina PC
• Pathology Associates II of Eastern North Carolina PC
• Pathways Counseling Center
• Pathways Human Services of North Carolina, LLC
• Felicia Patrick, RBT
• Billee Brown Payne, NP-C
• Pearl'S II, Inc.
• Marvin Bruce Pearson, CRNA
• Pamela Zenobia Pearson, DDS PA
• Pediatric Speech Language Therapy, PLLC

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.