Active NPI
Joan Rogers
- Clinical Social Worker
- Lakeport, CA
National Provider Identifier
1316877202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW122687
- Practice address
- 4913 Helbush Dr
Lakeport, CA 95453-7060 - Phone
- (707) 262-4253
- NPI assigned
- May 21, 2026
- Sex
- Female
- 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 | ASW122687 | CA | Primary |
Addresses
Primary practice location
4913 Helbush Dr
Lakeport, CA 95453-7060
Mailing address
PO Box 2371
Clearlake, CA 95422-2301
Phone (530) 786-9936
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 |
|---|---|---|---|
| ASW122687 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1316877202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2371",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "954222301",
"telephone_number": "530-786-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 HELBUSH DR",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954537060",
"telephone_number": "707-262-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-21",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW122687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.