Individual provider Active NPI

Michael T Rogan, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1710294533
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082256 Issued in NY
Practice address
201 W 94TH St Apt 3a
New York, NY 10025-6998
Phone
(646) 250-3182
NPI assigned
Sep 1, 2010
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 082256 NY Primary

Addresses

Primary practice location

201 W 94TH St Apt 3a
New York, NY 10025-6998

Mailing address

201 W 94TH St Apt 3a
New York, NY 10025-6998
Phone (646) 250-3182

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael@michaelroganphd.com

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082256NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Psychotherapy, LCSW, P.C. PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 1

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1710294533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 94TH ST APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256998",
            "telephone_number": "646-250-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 94TH ST APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256998",
            "telephone_number": "646-250-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGAN",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@michaelroganphd.com",
            "affiliation": "N",
            "address_1": "201 W 94th St Apt 3A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100256998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.