Individual provider Active NPI

Judith Ann Rogers, LCSW

  • Social Worker
  • Neenah, WI
National Provider Identifier
1710944962
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
244123 Issued in WI
Practice address
1370 S Commercial St
Reach Counseling Services
Neenah, WI 54956-4636
Phone
(920) 722-8150
Fax
(920) 722-0142
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 244123 WI Primary

Addresses

Primary practice location

1370 S Commercial St
Reach Counseling Services
Neenah, WI 54956-4636

Mailing address

1370 S. Commercial St.
Reach Counseling Services
Neenah, WI 54956-4636
Phone (920) 722-8150

Other identifiers 1

IdentifierTypeStateIssuer
39237100MedicaidWI

Other names 1

  • Mrs. Judith A Greig Former name

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

LicenseStateTypeSpecialty
244123WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1710944962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S. COMMERCIAL ST.",
            "address_2": "REACH COUNSELING SERVICES",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-722-8150",
            "fax_number": "920-722-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S COMMERCIAL ST",
            "address_2": "REACH COUNSELING SERVICES",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-722-8150",
            "fax_number": "920-722-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "244123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39237100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "GREIG",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.