Lavenda T Rogers, MSW, ,LCSWA ,LLMSW
Individual provider Active NPI Clinical Social Worker · Clarkton, NC
NPI 1497399513 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1497399513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6851115271 (MI)
- Practice address
- 142 Rehobeth Church Rd
Clarkton, NC 28433-8014 - Phone
- (910) 801-4567
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911002052 | NC | Practitioner - Clinical Social Worker | 6608316195 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115271 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Start Counseling Services,LLC | Clinical | Current |
Accepting new patients |
| Brightside Counseling Services, PLLC | Clinical | Current |
Accepting new patients |
Locations
110 Memory Plz
#107
Whiteville, NC 28472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851115271 | MI | Yes |
| Clinical Social Worker | 1041C0700X | P018294 | NC |
Addresses
Primary practice location
142 Rehobeth Church Rd
Clarkton, NC 28433-8014
Mailing address
142 Rehobeth Church Rd
Clarkton, NC 28433-8014
Phone (910) 801-4567
Other practice location 1
142 Rehobeth Church Rd
Clarkton, NC 28433-8014
Phone (910) 801-4567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025 | Medicaid | NJ |
Other providers in Clarkton, NC
- Allison M. Priest
- Rha Health Services NC LLC
- Rha Health Services NC LLC
- Rha Health Services NC, LLC
- Rideit LLC
- Daisy Grace Russ
- Southeastern Regional Medical Center
- Southeastern Regional Physician Services
- Ambrosia Spaulding
- Stepping Stones Counseling Services LLC
All providers in Clarkton, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.