Active NPI
Jenna Macgillivray Rogerson, LCSW
- Clinical Social Worker
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18064
- Practice address
- 10129 Clear Vista St
Orlando, FL 32832-7164 - Phone
- (833) 663-6331
- NPI assigned
- Oct 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | SW18064 | FL | Primary |
Addresses
Primary practice location
10129 Clear Vista St
Orlando, FL 32832-7164
Mailing address
740 Java Rd
Cocoa Beach, FL 32931-3075
Phone (407) 761-4737
Other practice location 1
2479 Aloma Ave
Winter Park, FL 32792-2541
Phone (407) 657-6692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10129 Clear Vista St
Orlando, FL 32832-7164
Phone (770) 312-5226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW18064 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
10129 Clear Vista St
Orlando, FL 32832
Phone (407) 601-1370
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jenna.rogerson.1@17832.direct.athenahealth.com
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 and National Provider Directory roles.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1689186900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 JAVA RD",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313075",
"telephone_number": "407-761-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10129 CLEAR VISTA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328327164",
"telephone_number": "833-663-6331"
}
],
"practiceLocations": [
{
"address_1": "2479 Aloma Ave",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327922541",
"country_code": "US",
"telephone_number": "407-657-6692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERSON",
"first_name": "JENNA",
"middle_name": "MACGILLIVRAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-26",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW18064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.