Rogue Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROGUE THERAPY PLLC

Practice address

240 E Spartan Dr
Sparta, MI 49345-1449

Phone

(616) 887-1743

NPI assigned

Dec 13, 2024

Organization subpart

No

Name

Caitlin Oliver, LMSW

Title

Social Worker

Phone

(616) 634-6949

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2024.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1235946229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 5TH ST APT 1",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E SPARTAN DR",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451449",
            "telephone_number": "616-887-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "616-634-6949",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sparta, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.