Individual provider Active NPI

Stephanie Beth Rogart, MSW, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1346529344
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27567 Issued in CA
Practice address
4383 Trias St
San Diego, CA 92103-1157
Phone
(619) 261-3266
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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 27567 CA Primary

Addresses

Primary practice location

4383 Trias St
San Diego, CA 92103-1157

Mailing address

4383 Trias St
San Diego, CA 92103-1157
Phone (619) 261-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27567CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of San Diego PastSince Dec 12, 2006 Accepting new patients

Organizations & group practices 1

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1346529344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 TRIAS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031157",
            "telephone_number": "619-261-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 TRIAS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031157",
            "telephone_number": "619-261-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGART",
        "first_name": "STEPHANIE",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.