Michele Rogers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015580 Issued in IL

Practice address

68 Carmella Dr
Crystal Lake, IL 60012-3517

Phone

(815) 715-8757

NPI assigned

Jun 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Help 4 Little Hands, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Crystal Lake, IL
  • NPI 1639662877
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402185600000",
    "number": "1306259270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CARMELLA DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123517",
            "telephone_number": "815-715-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CARMELLA DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123517",
            "telephone_number": "815-715-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL CLINICAL SOCIAL WORK LICENSE NUMBER",
            "identifier": "149015580",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamela Borne Robson
• Thomas Robson, D.C.
• Colleen Ann Rodgers, COTA
• Daisi Rodriguez
• M. Kristeen Rogers, RN, BSN, IBCLC
• Allison Rogge
• Krista DL Rogulic, RN
• Bianca Rollins
• Zitlalli Z Roman Rodriguez, LCSW
• Jorge Roman

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.