Individual provider Active NPI

Kizzy Mishee' Rogers

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1669943163
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8314 Issued in TN
Practice address
3385 Austin Peay Hwy Ste 115
Memphis, TN 38128-3810
Phone
(901) 207-6946
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 11127 TN
Social Worker 104100000X
Clinical Social Worker 1041C0700X 8314 TN Primary

Addresses

Primary practice location

3385 Austin Peay Hwy Ste 115
Memphis, TN 38128-3810

Mailing address

PO Box 754207
Memphis, TN 38175-4207
Phone (901) 207-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260316002460 TN Practitioner - Clinical Social Worker 2769965938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

360 E Eh Crump Blvd
Memphis, TN 38126-5310

PO Box
Suite 754207
Memphis, TN 38175-4207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8314TNMDClinical Social Worker
11127TNMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince Feb 15, 2026 Accepting new patients
Memphis Health Center, Inc. CurrentSince Feb 15, 2026 Accepting new patients
Kids for the Future, Inc. Past Accepting new patients

Locations

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

Organizations & group practices 3

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": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1669943163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754207",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381754207",
            "telephone_number": "901-207-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 AUSTIN PEAY HWY STE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283810",
            "telephone_number": "901-207-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIZZY",
        "middle_name": "MISHEE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "TN",
            "license": "11127",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.