Brandi Leigh Rogers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5470-C Issued in AR

Practice address

3101 W 2ND CT
Russellville, AR 72801-4504

Phone

(479) 567-5654

Fax

(479) 567-5661

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Brandi Leigh Tritt Former name

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.

• Rogers Mental Health and Wellness, PLLC

  • Clinical Social Worker
  • White Hall, AR
  • NPI 1629730155
  NPD Authorized official
• Gain, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1992885180

  Clinical

  NPD (past)
• River Valley Psychology PLLC

  • Psychologist
  • Russellville, AR
  • NPI 1235424326
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1316005408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10323",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728120323",
            "telephone_number": "479-567-5654",
            "fax_number": "479-567-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W 2ND CT",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014504",
            "telephone_number": "479-567-5654",
            "fax_number": "479-567-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728028598",
            "country_code": "US",
            "telephone_number": "479-970-8393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 Mary Kay Blvd.",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "72015",
            "country_code": "US",
            "telephone_number": "501-315-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "BRANDI",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2697-M",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "5470-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "TRITT",
            "middle_name": "LEIGH",
            "credential": "MHPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli L Robinson, SLP
• Rachel E. Mikles Robinson, CCC-SLP
• Victor Roble, CIT
• Brynn Rodgers
• Jacob Vernon Rodgers
• Randi Ellen Rogers
• Suzanne Lynnette Rogers, ST
• Gabrielle Rolen
• Michael Andrew Roller, PHARM.D.
• Rosemary A Rolniak, PHYSICAL THERAPIST

• Clinical Social Worker in Russellville, AR
• Providers in Russellville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.