Individual provider Active NPI

David Michael Rogers, LCSW

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1114209749
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7739-C Issued in NV
Practice address
303 S Water St Ste 230
Henderson, NV 89015-7308
Phone
(725) 244-7223
Fax
(725) 215-9766
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00510-LC NV
Clinical Social Worker 1041C0700X 7739-C NV Primary

Addresses

Primary practice location

303 S Water St Ste 230
Henderson, NV 89015-7308

Mailing address

26 Via Vasari Unit 103
Henderson, NV 89011-3730
Phone (725) 244-7223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20180212001617 NV Practitioner - Clinical Social Worker 2668732694 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

303 S Water St
Suite 230
Henderson, NV 89015-7308
Phone (725) 244-7223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00510-LCNVMDAddiction (Substance Use Disorder) Counselor
7739-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Rogers, PHD LTD. Current Accepting new patients
Life Change Therapy Clinical CurrentSince Aug 3, 2020 Accepting new patients

Locations

303 S Water St
Ste 230
Henderson, NV 89015
Phone (702) 451-2141

7495 W Azure Dr
Ste 237
Las Vegas, NV 89130
Phone (702) 529-1465

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1114209749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 VIA VASARI UNIT 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113730",
            "telephone_number": "725-244-7223",
            "fax_number": "725-215-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WATER ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157308",
            "telephone_number": "725-244-7223",
            "fax_number": "725-215-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00510-LC",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7739-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.