Individual provider Active NPI

Heather Lynne Rogers

  • Clinical Social Worker
  • Hollister, CA
National Provider Identifier
1558849349
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103296 Issued in CA
Practice address
1131 Community Parkway
Hollister, CA 95023
Phone
(831) 636-4020
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 103296 CA Primary

Addresses

Primary practice location

1131 Community Parkway
Hollister, CA 95023

Mailing address

1131 Community Parkway
Hollister, CA 95023
Phone (831) 636-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230410002582 CA Practitioner - Clinical Social Worker 9032584875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Benito CountyGroup PAC ID 2860655669, 6 clinicians

Practice addresses (Care Compare)

1131 Community Pkwy
Hollister, CA 95023-2800
Phone (831) 636-4020

1131 San Felipe Rd
Hollister, CA 95023-2800
Phone (831) 636-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Dec 14, 2022 Accepting new patients
County of Monterey Behavioral Health CurrentSince Dec 14, 2022 Accepting new patients
San Benito County CurrentSince May 17, 2024 Accepting new patients
Native American Mental Health Services Corporation CurrentSince Jan 1, 2026 Accepting new patients
County of San Benito Behavioral Health CurrentSince Jun 2, 2024 Accepting new patients

Locations

1131 San Felipe Rd
Hollister, CA 95023
Phone (831) 636-4020

1131 Community Pkwy
Hollister, CA 95023
Phone (831) 636-4020

1742 Oregon St
Redding, CA 96001
Phone (530) 226-7419

2400 Washington Ave
Ste 100
Redding, CA 96001
Phone (530) 226-7419

1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500

1441 Constitution Blvd
Ste 202
Salinas, CA 93906
Phone (831) 796-1700

359 Gabilan Dr
Soledad, CA 93960
Phone (831) 769-8740

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1558849349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 COMMUNITY PARKWAY",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 COMMUNITY PARKWAY",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-636-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "HEATHER",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.