Individual provider Active NPI

Keith Rogers, LCSW

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1306621024
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
620 8TH Ave
Terre Haute, IN 47804-2771
Phone
(812) 231-8323
Fax
(812) 231-8189
NPI assigned
Aug 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 Primary

Addresses

Primary practice location

620 8TH Ave
Terre Haute, IN 47804-2771

Mailing address

620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000641 IN Practitioner - Clinical Social Worker 4486018314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

1948 W Boulevard
4C Health
Kokomo, IN 46902-6078
Phone (574) 722-5151

801 S 6TH St D
4C Health
Monticello, IN 47960-8201
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center Inc CurrentSince Dec 2, 2024 Accepting new patients
Hamilton Center Inc. CurrentSince Aug 8, 2023 Accepting new patients
Hamilton Center, Inc. CurrentSince Aug 8, 2023 Accepting new patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Dec 2, 2024 Accepting new patients

Locations

3002 E Wabash St
Frankfort, IN 46041

2796 N Apperson Way
Kokomo, IN 46901

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

1 Landis Ln
Logansport, IN 46947

1015 Michigan Ave
Logansport, IN 46947

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

421 12th St
Logansport, IN 46947
Phone (574) 722-7407

2355 S Business 31
Peru, IN 46970

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

1 Zebra Ln
Rochester, IN 46975
Phone (574) 223-2159

417 S Chicago St
Royal Center, IN 46978

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

619 S Main St
Tipton, IN 46072

1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111

2418 Curtis Dr
Winamac, IN 46996
Phone (219) 946-7710

Organizations & group practices 4

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1306621024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042771",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042771",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KEITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.