Cassandra Rose Rogers, LLBSW
Individual provider Active NPI Social Worker · Atlanta, MI
NPI 1376354720 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1376354720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6852093603 (MI)
- Practice address
- 12705 Twin Lakes Rd
Atlanta, MI 49709-9723 - Phone
- (989) 306-3039
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6852093603 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6852093603 | MI | Yes |
Addresses
Primary practice location
12705 Twin Lakes Rd
Atlanta, MI 49709-9723
Mailing address
12705 Twin Lakes Rd
Atlanta, MI 49709-9723
Phone (989) 306-3039
Other providers in Atlanta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.