MEDICARE: RHONDA RHODES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962603100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA RHODES LCSW

Provider Business Mailing Address
First Line	:	3191 CLAY MANGUM LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2501
Country	:	US
Telephone Number	:	813-264-3807
Fax Number	:	813-269-1372

Provider Business Practice Location Address
First Line	:	3191 CLAY MANGUM LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2501
Country	:	US
Telephone Number	:	813-264-3807
Fax Number	:	813-269-1372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	06/02/2015

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Directions to “ RHONDA RHODES LCSW” Practice Location

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