Kellie Jean Rogers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

213579 Issued in MA

Practice address

149 Sylvan St
Danvers, MA 01923-3564

Phone

(978) 774-7570

Fax

(978) 777-8547

NPI assigned

Jan 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1689859159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233564",
            "telephone_number": "978-774-7570",
            "fax_number": "978-777-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233564",
            "telephone_number": "978-774-7570",
            "fax_number": "978-777-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KELLIE",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rodriguez, B.S.
• Johanna Rodriguez, BS
• Stefanie L Rogal
• Amanda Rogers, M.ED.
• Ashley L Rogers
• Liza Marie Rogers, MPT, ATC
• Rachel Rogers
• Sarah Jean Rogers, MSW
• Sydney Rogers
• Cathy L Rogge, EDM LMFT LCSW

• Clinical Social Worker in Danvers, MA
• Providers in Danvers, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.