NPIMap

Individual provider Active NPI

Frederica Rogers, LMSW

  • Social Worker
  • Fort Wayne, IN
National Provider Identifier
1225635840
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
99100366A Issued in IN
Practice address
2013 S Anthony Blvd
Fort Wayne, IN 46803-3609
Phone
(260) 225-9991
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 99100366A IN Primary

Addresses

Primary practice location

2013 S Anthony Blvd
Fort Wayne, IN 46803-3609

Mailing address

PO Box 10156
Fort Wayne, IN 46850-0156
Phone (260) 225-9991

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.therapyappointment.com Direct

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
99100366AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Healing Inc Social Worker CurrentSince Oct 11, 2020 Accepting new patients
Courageous Healing, LLC PastSince Oct 11, 2020 Accepting new patients

Locations

2013 S Anthony Blvd
Fort Wayne, IN 46803
Phone (260) 255-3514

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1225635840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10156",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468500156",
            "telephone_number": "260-225-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 S ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468033609",
            "telephone_number": "260-225-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "FREDERICA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99100366A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapyappointment.com",
            "affiliation": "N",
            "endpointDescription": "psychologists, psychiatrists, counselors, social workers, LMFT's, and other therapists with charting, claims, billing, scheduling, communication, and other tasks.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Case Notes, Treatment Plans, Secure Email, Billing, etc.",
            "address_1": "2013 S Anthony Blvd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468033609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.