Active NPI
Temika Rogers, LCSW
- Clinical Social Worker
- Pine Bluff, AR
National Provider Identifier
1245455294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5469-C
- Practice address
- 813 W 6TH Ave
Pine Bluff, AR 71601-4031 - Phone
- (870) 568-4502
- Fax
- (870) 395-7086
- NPI assigned
- Apr 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5469-C | AR | Primary |
Addresses
Primary practice location
813 W 6TH Ave
Pine Bluff, AR 71601-4031
Mailing address
PO Box 1926
Pine Bluff, AR 71613-1926
Phone (870) 718-2349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 395982YXDK | Medicaid | AR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5469-C | AR | MD | Clinical Social Worker |
| 105311 | TX | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Healthcare, LLC | 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.
-
- Health Service Clinic/Center
- Pine Bluff, AR
- NPI 1942748488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1245455294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1926",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716131926",
"telephone_number": "870-718-2349",
"fax_number": "870-395-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W 6TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716014031",
"telephone_number": "870-568-4502",
"fax_number": "870-395-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TEMIKA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "5469-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "395982YXDK",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.