Penny Mellard Rogers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2087-C Issued in AR

Practice address

303 E Matthews Ave
Suite 202
Jonesboro, AR 72401-3150

Phone

(870) 207-7555

Fax

(870) 336-5083

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1457436834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE",
            "address_2": "SUITE 202",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013150",
            "telephone_number": "870-207-7555",
            "fax_number": "870-336-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE",
            "address_2": "SUITE 202",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013150",
            "telephone_number": "870-207-7555",
            "fax_number": "870-336-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PENNY",
        "middle_name": "MELLARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2087-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Paige Rogers
• Jill Rogers, LSW
• Jordan Nicole Rogers, DNP, APRN
• Joseph Blake Rogers, PTA
• Kelly Dawn Rogers, APN
• Shanda Desha Rogers, P.T.
• Tosha D Rogers
• Whitney Rolland
• Ronald S Burnett DDS PA
• Ryan A Ropp, LCSW

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, 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 5, 2014; 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.