Active NPI
Patricia A. Rogers, LCSW
- Clinical Social Worker
- New City, NY
National Provider Identifier
1255413068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R057702-1
- Practice address
- 120 N Main St
Ste 207
New City, NY 10956-3743 - Phone
- (845) 304-7913
- Fax
- (845) 638-5971
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | R057702-1 | NY | Primary |
Addresses
Primary practice location
120 N Main St
Ste 207
New City, NY 10956-3743
Mailing address
6 Canterbury Cir
Washingtonville, NY 10992-1134
Phone (845) 304-7913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02635638 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050214000129 | NY | Practitioner - Clinical Social Worker | 8628020146 | Practice locations: New City, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- New York University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
345 N Main St
Suite 1
New City, NY 10956-4305
Phone (845) 304-7913
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R057702-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1255413068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CANTERBURY CIR",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921134",
"telephone_number": "845-304-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N MAIN ST",
"address_2": "STE 207",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563743",
"telephone_number": "845-304-7913",
"fax_number": "845-638-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "PATRICIA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R057702-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02635638",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.