Individual provider Active NPI

Roger George Hemmert, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1285937839
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80619 Issued in ID
Practice address
457 Knollcrest Dr Ste 120
Redding, CA 96002-0121
Phone
(530) 392-4399
Fax
(000) 000-0000
NPI assigned
Dec 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 80619 ID Primary

Addresses

Primary practice location

457 Knollcrest Dr Ste 120
Redding, CA 96002-0121

Mailing address

457 Knollcrest Dr Ste 120
Redding, CA 96002-0121
Phone (530) 392-4399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80619IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
The Guidance Center - Whole Health Mental Health CurrentSince Sep 26, 2023 Accepting new patients
Dirne Health Centers, Inc. Mental Health PastSince Aug 1, 2021 Accepting new patients

Locations

3111 S 70th St
Fort Smith, AR 72903

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

Organizations & group practices 3

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1285937839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 KNOLLCREST DR STE 120",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020121",
            "telephone_number": "530-392-4399",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 KNOLLCREST DR STE 120",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020121",
            "telephone_number": "530-392-4399",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMERT",
        "first_name": "ROGER",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "80619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.