Robert Deforrest Roggenbach, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 000177 Issued in MO

Practice address

12600 E 40 Hwy
Suite 101
Independence, MO 64055-5955

Phone

(816) 350-3333

Fax

(816) 478-8888

NPI assigned

Mar 8, 2006

Last updated

Jan 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1528035599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 E 40 HWY",
            "address_2": "SUITE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555955",
            "telephone_number": "816-350-3333",
            "fax_number": "816-478-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 E 40 HWY",
            "address_2": "SUITE 101",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555955",
            "telephone_number": "816-350-3333",
            "fax_number": "816-478-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGENBACH",
        "first_name": "ROBERT",
        "middle_name": "DEFORREST",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW 000177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alehanny Rodriguez Checa
• Tasha Marie Rodriguez, PT ATC
• Valerie Dawn Rodriguez, LSCSW
• Glen Roe
• Adam W Roeser, DPT
• Riley C Roling, PLMFT
• Ahmad J Rollins, LMSW
• Shatasha C Rollins
• Mathew Romero, ATC
• Beth A Romines, MA, LPC

• Clinical Social Worker in Independence, MO
• Providers in Independence, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.