Individual provider Active NPI

Kathryn A. Rogers, MSW, LGSW

  • Preferred Provider Organization
  • Towson, MD
National Provider Identifier
1174717201
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
G12637 Issued in MD
Practice address
28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909
Phone
(410) 592-3623
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X G12637 MD Primary

Addresses

Primary practice location

28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909

Mailing address

28 Allegheny Ave
Suite 1208
Towson, MD 21204-3909
Phone (410) 592-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G12637MDMDPreferred Provider Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Resolution Past Accepting new patients

Organizations & group practices 1

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1174717201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ALLEGHENY AVE",
            "address_2": "SUITE 1208",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043909",
            "telephone_number": "410-592-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ALLEGHENY AVE",
            "address_2": "SUITE 1208",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043909",
            "telephone_number": "410-592-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KATHRYN",
        "middle_name": "A.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "G12637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.