Antonay Nykeria Rodgers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4107 Issued in TN

Practice address

817 Westcott LN
Antioch, TN 37013-5272

Phone

(615) 243-0968

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Guiding Star Mental Health

  • Community/Behavioral Health Agency
  • Antioch, TN
  • NPI 1518716414
  NPD
• Woodridge of Missouri, Inc.

  dba Perimeter Behavioral of Missouri

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waynesville, MO
  • NPI 1174662720
  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1487325452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL RD",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 WESTCOTT LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135272",
            "telephone_number": "615-243-0968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832634",
            "country_code": "US",
            "telephone_number": "573-774-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ANTONAY",
        "middle_name": "NYKERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2021036337",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lawrence Roberts, PH.D.
• Quilona Robertson
• Mary Louise Robinson
• Patsy Michelle Robinson, BEHAVIOR TECHNICIAN
• Shayla Robinson, LPC-MHSP
• Regina Rosario, MA
• Rose Transport Services ,LLC (Rose Transport Services)
• Devin Rush
• Amanda Marie Ryglicki, PHARMD
• Saint George LLC

• Clinical Social Worker in Antioch, TN
• Providers in Antioch, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.