Individual provider Active NPI

Tammy Jo Rodgers, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1043768468
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022765 Issued in PA
Practice address
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Phone
(267) 999-9534
Fax
(833) 613-2680
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06197500 NJ
Clinical Social Worker 1041C0700X CW022765 PA Primary

Addresses

Primary practice location

100 S Juniper St FL 3
Philadelphia, PA 19107-1316

Mailing address

228 Park Ave S
New York, NY 10003-1502
Phone (267) 999-9534

Other practice location 1

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (267) 999-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230228000390 PA Practitioner - Clinical Social Worker 6002289774 Reassigns benefits to 3 organizations
I20231014000111 NJ Practitioner - Clinical Social Worker 6002289774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quartet Medical GroupGroup PAC ID 5294274536, 13 clinicians

Practice addresses (Care Compare)

Erie, PA 16510
Phone (833) 258-8498

1 Gateway Ctr
Suite 2600
Newark, NJ 07102-5323
Phone (267) 999-9534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022765PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quartet Medical Group of New Jersey Professional Corporation Clinical CurrentSince Aug 1, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Feb 12, 2025 Accepting new patients
Quartet Medical Group Clinical CurrentSince Aug 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 25, 2022 Accepting new patients

Locations

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

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

1601 Market St
Ste 1500
Philadelphia, PA 19103
Phone (267) 999-9534

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

Interoperability endpoints

  • Direct secure messaging: tammy.rodgers.1@26068.direct.athenahealth.com

Organizations & group practices 4

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1043768468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "267-999-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071316",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TAMMY JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06197500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.