Individual provider · Type 1 NPI

Johnathon Raymond Rush, LCSW

Clinical Social Worker · Fayetteville, NC

NPI number 1376111740 Active

Practice location

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981

Call (910) 759-4852 Map

Mailing address

3205 Cragburn Pl
Fayetteville, NC 28306-6404

Other practice locations

  • 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314-2834 · (910) 339-0400
  • 3205 Cragburn Pl, Fayetteville, NC 28306-6404 · (513) 267-9002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC017313 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376111740

Johnathon Raymond Rush, LCSW's National Provider Identifier is 1376111740, issued on Jun 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 6, 2025.