Individual provider Active NPI

Tanya Marie Rogers, LCSW

  • Clinical Social Worker
  • Harvey, IL
National Provider Identifier
1245506369
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011346 Issued in IL
Practice address
174 E 154TH St Ste 200
Harvey, IL 60426-3327
Phone
(708) 339-0040
Fax
(708) 339-0290
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011346 IL Primary

Addresses

Primary practice location

174 E 154TH St Ste 200
Harvey, IL 60426-3327

Mailing address

15714 Marshfield Ave
Harvey, IL 60426-4216
Phone (708) 651-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050520001013 IL Practitioner - Clinical Social Worker 4880635614 Practice locations: Harvey, IL
I20151104000477 IN Practitioner - Clinical Social Worker 4880635614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15714 Marshfield Ave
Harvey, IL 60426-4216
Phone (708) 651-1987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewater Systems for Balanced Living, Inc CurrentSince Sep 1, 2015 Accepting new patients
Edgewater Systems for Balanced Living, Inc. Current Accepting new patients
Edgewater Systems for Balanced Living, Inc CurrentSince Sep 1, 2015 Accepting new patients
Better Future for Families Foundation Clinical CurrentSince Feb 19, 2023 Accepting new patients
Better Future for Families Clinical Past Accepting new patients
Halfway House Committee, Inc. PastSince Apr 13, 2015 Accepting new patients

Locations

1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466

Interoperability endpoints

  • Direct secure messaging: tanya.rogers.p1@direct.edgewater.nextgenshare.com

Organizations & group practices 6

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1245506369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15714 MARSHFIELD AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604264216",
            "telephone_number": "708-651-1987",
            "fax_number": "708-339-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 E 154TH ST STE 200",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263327",
            "telephone_number": "708-339-0040",
            "fax_number": "708-339-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.