Active NPI
Kameia Rodgers, APSW
- Clinical Social Worker
- West Allis, WI
National Provider Identifier
1235846924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 132939
- Practice address
- 11390 W Theodore Trecker Way
West Allis, WI 53214-1135 - Phone
- (414) 928-1401
- NPI assigned
- Nov 1, 2022
- Last updated
- Jan 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19819 | WI | |
| Clinical Social Worker | 1041C0700X | 132939 | WI | Primary |
Addresses
Primary practice location
11390 W Theodore Trecker Way
West Allis, WI 53214-1135
Mailing address
11390 W Theodore Trecker Way
West Allis, WI 53214-1135
Phone (414) 928-1401
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19819 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 132939 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1235846924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11390 W THEODORE TRECKER WAY",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532141135",
"telephone_number": "414-928-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11390 W THEODORE TRECKER WAY",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532141135",
"telephone_number": "414-928-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "KAMEIA",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19819",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "132939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.