Active NPI
Selena T. Rodgers, PH.D., LCSW-R
- Clinical Social Worker
- Jamaica, NY
National Provider Identifier
1255734786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R052271-1
- Practice address
- 163-27 130TH Ave
#6F
Jamaica, NY 11434-3039 - Phone
- (718) 949-3048
- NPI assigned
- Sep 29, 2014
- 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 | R052271-1 | NY | Primary |
Addresses
Primary practice location
163-27 130TH Ave
#6F
Jamaica, NY 11434-3039
Mailing address
163-27 130TH Avenue
#6F
Jamaica, NY 11434-3039
Phone (718) 949-3048
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R052271-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1255734786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163-27 130TH AVENUE",
"address_2": "#6F",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343039",
"telephone_number": "718-949-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163-27 130TH AVE",
"address_2": "#6F",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343039",
"telephone_number": "718-949-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "SELENA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R052271-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.