Paige Danielle Rogge, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150106775 Issued in IL

Practice address

7757 US Hwy 136
Potomac, IL 61865

Phone

(217) 649-0492

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Family Services of Illinois

  • Clinical Social Worker
  • Potomac, IL
  • NPI 1487152344
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1033858535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7757 US HWY 136",
            "city": "POTOMAC",
            "state": "IL",
            "postal_code": "61865",
            "telephone_number": "217-649-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 US HWY 136",
            "city": "POTOMAC",
            "state": "IL",
            "postal_code": "61865",
            "telephone_number": "217-649-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGE",
        "first_name": "PAIGE",
        "middle_name": "DANIELLE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150106775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF SOCIAL WORKERS",
            "identifier": "150106775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Meid
• Julia L Pettersen
• Potomac School District 10
• Gabrielle Dawn Rivette Remole, LCSW
• Michael Remole, MA, LCPC

• Clinical Social Worker in Potomac, IL
• Providers in Potomac, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.