Individual provider Active NPI

Ruqaiyah Shariah Rogers, LMSW

  • Clinical Social Worker
  • Kentwood, MI
National Provider Identifier
1003236662
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090932 Issued in MI
Practice address
6026 Kalamazoo Ave SE Ste 139
Kentwood, MI 49508-7018
Phone
(616) 537-8822
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090932 MI Primary

Addresses

Primary practice location

6026 Kalamazoo Ave SE Ste 139
Kentwood, MI 49508-7018

Mailing address

6026 Kalamazoo Ave SE Ste 139
Kentwood, MI 49508-7018
Phone (616) 536-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20140626002220 MI Practitioner - Clinical Social Worker 1254556657 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

One Ford Place
1F
Detroit, MI 48202-3450
Phone (313) 674-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090932MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Clinical CurrentSince Feb 7, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 3, 2024 Accepting new patients
Henry Ford Health System CurrentSince Feb 7, 2024 Accepting new patients
Community Mental Health Services of St Joseph County CurrentSince Oct 23, 2023 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Jul 23, 2019 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Jul 23, 2019 Accepting new patients
Lbee Health Practice Group PLLC Clinical Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

677 E Main St
Centreville, MI 49032
Phone (269) 467-1001

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

3225 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 364-1500

1555 E Chicago Rd
Ste A
Sturgis, MI 49091
Phone (269) 467-1904

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

1 Lawson Ln
Ste 340
Burlington, VT 05401
Phone (603) 730-7309

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • OH PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • IL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: rrogers934894@direct.hfhs.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1003236662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 KALAMAZOO AVE SE STE 139",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087018",
            "telephone_number": "616-536-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 KALAMAZOO AVE SE STE 139",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087018",
            "telephone_number": "616-537-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RUQAIYAH",
        "middle_name": "SHARIAH",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.