Individual provider Active NPI

Meredith Sargent Rogerson, MSW, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1689169823
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121854 Issued in MA
Practice address
56 Broad St Ste 14134
Boston, MA 02109-4301
Phone
(617) 807-0730
NPI assigned
Jun 29, 2018
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 121854 MA Primary

Addresses

Primary practice location

56 Broad St Ste 14134
Boston, MA 02109-4301

Mailing address

56 Broad St Ste 14134
Boston, MA 02109-4301
Phone (617) 807-0730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Second Arrow Counseling LLC Clinical CurrentSince Mar 30, 2025 Accepting new patients
SB Transitional Sub, LLC Community/Behavioral Health CurrentSince May 17, 2021 Accepting new patients

Locations

56 Broad St
Ste 14134
Boston, MA 02109
Phone (617) 807-0730

103 Commercial St
Ste 2
Brockton, MA 02302

1115 W Chestnut St
Ste 202
Brockton, MA 02301
Phone (508) 824-1355

35 Congress St
Ste 225
Salem, MA 01970
Phone (978) 542-1951

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1689169823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BROAD ST STE 14134",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094301",
            "telephone_number": "617-807-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BROAD ST STE 14134",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094301",
            "telephone_number": "617-807-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERSON",
        "first_name": "MEREDITH",
        "middle_name": "SARGENT",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.