Individual provider Active NPI

Tressa Eileen Rogers, LICSW

  • Clinical Social Worker
  • Fall River, MA
National Provider Identifier
1508188905
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118018 Issued in MA
Practice address
49 Hillside St
Fall River, MA 02720-5211
Phone
(508) 235-7277
NPI assigned
Feb 25, 2010
Last updated
Nov 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118018 MA Primary

Addresses

Primary practice location

49 Hillside St
Fall River, MA 02720-5211

Mailing address

100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone (401) 437-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118018MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 1, 2019 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Jul 21, 2013 Accepting new patients
East Bay Community Action Program CurrentSince Nov 13, 2018 Accepting new patients
East Bay Community Action Program Current Accepting new patients
The Commonwealth of Massachusetts CurrentSince Jul 21, 2013 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 1, 2019 Accepting new patients

Locations

386 Stanley St
Fall River, MA 02720
Phone (508) 324-3550

49 Hillside St
Fall River, MA 02720
Phone (508) 235-7200

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1508188905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155351",
            "telephone_number": "401-437-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HILLSIDE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205211",
            "telephone_number": "508-235-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TRESSA",
        "middle_name": "EILEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.