Judi Taylor Rogers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002516 Issued in GA

Practice address

100 Mariners Dr Ste D
Kingsland, GA 31548-6667

Phone

(770) 656-4401

Fax

(386) 283-4170

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1508916503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SAN JUAN DR APT B104",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321372368",
            "telephone_number": "770-331-9344",
            "fax_number": "386-283-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR STE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486667",
            "telephone_number": "770-656-4401",
            "fax_number": "386-283-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JUDI",
        "middle_name": "TAYLOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00851023B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Riley
• Angela Roberson
• Robert Houghteling, O.D., P.C.
• Robert J. Wilson, M.D., P.C.
• Creighton Roberts, LPC
• John Ross, LDO
• Sarah Roupp
• Ruxandra Mares, MD
• Martha Patricia Sanchez-Silva, M.D.
• Matthew Parrish Sands, DMD

• Clinical Social Worker in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.