Individual provider Active NPI

Jodell Wilson Rogers, LCSW

  • Clinical Social Worker
  • Lamar, CO
National Provider Identifier
1093442063
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09932396 Issued in CO
Practice address
310 E Olive St
Lamar, CO 81052-2841
Phone
(719) 931-9844
Fax
(719) 931-8007
NPI assigned
Aug 1, 2022
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CSW.09932396 CO
Clinical Social Worker 1041C0700X CSW.09932396 CO Primary

Addresses

Primary practice location

310 E Olive St
Lamar, CO 81052-2841

Mailing address

301 E Olive St
Lamar, CO 81052-2840
Phone (719) 931-9844

Other identifiers 2

IdentifierTypeStateIssuer
9000253389MedicaidCO
09932396OtherCOLCSW

Other names 1

  • Jo Dell Wilson Rogers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251223002817 CO Practitioner - Clinical Social Worker 2769977073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Hudson DO Integrated Medical Practice PLLCGroup PAC ID 8921476227, 3 clinicians

Practice addresses (Care Compare)

310 E Olive St
Lamar, CO 81052-2841
Phone (719) 691-2291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09932396COMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Hudson DO Integrated Medical Practice PLLC CurrentSince Oct 21, 2025 Accepting new patients
Dr. Phaetra K. Raney Foundation , Inc Past Accepting new patients

Locations

310 E Olive St
Lamar, CO 81052
Phone (719) 691-2291

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEEJCD/Endpoint/AEEJCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1093442063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E OLIVE ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810522840",
            "telephone_number": "719-931-9844",
            "fax_number": "719-931-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E OLIVE ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810522841",
            "telephone_number": "719-931-9844",
            "fax_number": "719-931-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JODELL",
        "middle_name": "WILSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "CSW.09932396",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09932396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000253389",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "09932396",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO DELL",
            "last_name": "ROGERS",
            "middle_name": "WILSON",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lamar, CO

Sources for this page

Verify at the official NPI Registry.