Active NPI
Matthew Wayne Rogers, LMSW
- Social Worker
- Pearland, TX
National Provider Identifier
1497355911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 61653
- Practice address
- 6302 Broadway St Ste 235
Pearland, TX 77581-7828 - Phone
- (979) 997-0051
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 61653 | TX | Primary |
Addresses
Primary practice location
6302 Broadway St Ste 235
Pearland, TX 77581-7828
Mailing address
16100 Space Center Blvd Apt 211
Houston, TX 77062-6229
Phone (281) 235-3653
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 |
|---|---|---|---|
| 61653 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1497355911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 SPACE CENTER BLVD APT 211",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770626229",
"telephone_number": "281-235-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 BROADWAY ST STE 235",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775817828",
"telephone_number": "979-997-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "61653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.