Active NPI
Anthony Cola Rogers, LCSW
- Clinical Social Worker
- Santa Monica, CA
National Provider Identifier
1295823375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16258
- Practice address
- 2730 Wilshire Blvd
Ste. 630
Santa Monica, CA 90403-4743 - Phone
- (310) 840-7543
- Fax
- (310) 453-8837
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- 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 | 16258 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd
Ste. 630
Santa Monica, CA 90403-4743
Mailing address
1232 Harvard St
#6
Santa Monica, CA 90404-1561
Phone (310) 453-8837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0449964 | Other | CA | MENTAL HEALTH NETWORK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16258 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295823375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 HARVARD ST",
"address_2": "#6",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041561",
"telephone_number": "310-453-8837",
"fax_number": "310-453-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "STE. 630",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-840-7543",
"fax_number": "310-453-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ANTHONY",
"middle_name": "COLA",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "16258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "0449964",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.