Active NPI
Selena A Rogers, LCSW
- Social Worker
- Joint Base Langley-Eustis, VA
National Provider Identifier
1679046973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091427
- Practice address
- 633D Medical Group
Joint Base Langley-Eustis, VA 23665-0001 - Phone
- (757) 504-8556
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 091427 | NY | Primary |
Addresses
Primary practice location
633D Medical Group
Joint Base Langley-Eustis, VA 23665-0001
Mailing address
205 Wrought Iron BND
Yorktown, VA 23693-4553
Phone (347) 337-0577
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
| License | State | Type | Specialty |
|---|---|---|---|
| 091427 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1679046973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WROUGHT IRON BND",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934553",
"telephone_number": "347-337-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633D MEDICAL GROUP",
"city": "JOINT BASE LANGLEY-EUSTIS",
"state": "VA",
"postal_code": "236650001",
"telephone_number": "757-504-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SELENA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2025-03-11",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Langley-Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.