Individual provider Active NPI

Donna Ellen Rogg, MSW

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1639379241
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002826 Issued in CT
Practice address
127 Kings Hwy N
Westport, CT 06880-2422
Phone
(203) 984-9014
NPI assigned
Jul 21, 2007
Last updated
Aug 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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 002826 CT Primary

Addresses

Primary practice location

127 Kings Hwy N
Westport, CT 06880-2422

Mailing address

127 Kings Hwy N
Westport, CT 06880-2422
Phone (203) 984-9014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20060110000220 CT Practitioner - Clinical Social Worker 1951324516 Practice locations: Westport, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 Kings Hwy N
Westport, CT 06880-2422
Phone (203) 984-9014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002826CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470528000000",
    "number": "1639379241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802422",
            "telephone_number": "203-984-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802422",
            "telephone_number": "203-984-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGG",
        "first_name": "DONNA",
        "middle_name": "ELLEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-21",
        "last_updated": "2016-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.