McCarroll and Rodgers Fostering Change LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCCARROLL AND RODGERS FOSTERING CHANGE LLC

Practice address

4120 Lakefield Dr
Apt B
Henrico, VA 23231-4173

Phone

(908) 548-3337

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Shelley Rodgers, MSW

Title

Coo

Phone

(908) 548-3337

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1083094403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 LAKEFIELD DR",
            "address_2": "APT B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314173",
            "telephone_number": "908-548-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 LAKEFIELD DR",
            "address_2": "APT B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314173",
            "telephone_number": "908-548-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARROLL AND RODGERS FOSTERING CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-548-3337",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenise Benzina Mazyck, LCSW
• Joanna Woodward McAbee, PMHNP
• Sydney Kathleen McAdams, RESIDENT LPC
• Robert McAllister
• Robert P McBride III, MD
• Angela McClain, RN
• Carly Alyse McClinton, LPC
• Katherine Rainsford McComas
• Erica McDade
• Hannah Chong McDaniel, LPC

• Community/Behavioral Health Agency in Henrico, VA
• Providers in Henrico, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.