Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Johnathon Raymond Rush, LCSW

Individual provider Clinical Social Worker · NPI 1376111740

Mr. Johnathon Raymond Rush, LCSW is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2021, 5 years ago. Practices with Painting Miracles Inc, a 2-clinician group and works from 3 locations. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981
Phone: (910) 759-4852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C017313 (NC)

Record details

NPI number1376111740
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Painting Miracles Inc — 2 clinicians
Accepts Medicare assignment Not indicated

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