Taneja Rodgers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW14429 Issued in FL

Practice address

10611 NW Sr 20
Bristol, FL 32321

Phone

(850) 643-1033

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Manna Scholarship Fund Inc

  • Adult Mental Health Clinic/Center
  • Duluth, GA
  • NPI 1083089239
  Medicare reassignment NPD
• Manna Treatment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, GA
  • NPI 1225961899
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1124633888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 SW STATE ROAD 14",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404448",
            "telephone_number": "850-445-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 NW SR 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "32321",
            "telephone_number": "850-643-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TANEJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queen Brown Haven Assisted Living Facility
• Emily Louise Rattini-Reich, MSW
• Kristina Michelle Revell
• Kristina Ann Rickman-Sykes
• Lauren Marie Riles
• Carly Rogers, OTR/L
• Karlicia R Rogers, MS
• Lucilita Salvador
• Jasmine Sandozz
• Jessica Michelle Shearer

• Clinical Social Worker in Bristol, FL
• Providers in Bristol, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.