Individual provider Active NPI

Gloria J Shields-Rogers, LMSW

  • Social Worker
  • Blytheville, AR
National Provider Identifier
1629142682
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1749-M Issued in AR
Practice address
833 E Main St Ste a
Blytheville, AR 72315-2595
Phone
(870) 824-6684
Fax
(870) 824-6685
NPI assigned
Nov 20, 2006
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1749-M AR Primary

Addresses

Primary practice location

833 E Main St Ste a
Blytheville, AR 72315-2595

Mailing address

PO Box 717
Manila, AR 72442-0717
Phone (870) 570-0358

Other names 1

  • Gloria Bogan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1749-MARMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1629142682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724420717",
            "telephone_number": "870-570-0358",
            "fax_number": "870-570-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E MAIN ST STE A",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152595",
            "telephone_number": "870-824-6684",
            "fax_number": "870-824-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS-ROGERS",
        "first_name": "GLORIA",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "1749-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "BOGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.