Kathleen Rogers, LCSW CRC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

039025 Issued in NY

Practice address

3 Fox Hollow Rd
East Setauket, NY 11733-1811

Phone

(631) 941-0302

Fax

(631) 941-0302

NPI assigned

Nov 4, 2013

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

Enrolled in NY

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1720417363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOX HOLLOW RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331811",
            "telephone_number": "631-941-0302",
            "fax_number": "631-941-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FOX HOLLOW RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331811",
            "telephone_number": "631-941-0302",
            "fax_number": "631-941-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KATHLEEN",
        "credential": "LCSW  CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Rivera, NP
• Riverhead Surgery, PC
• Angelo Victor Rizzi, RPA C
• Lisa Rizzuto, PA
• Timothy Michael Roberts, PA-C
• Christina Alysse Romano, PA-C
• Jaclyn Romano
• John Rongo, MS-PAC
• Maria Joana Rizza Relevo Rosas, PA-C
• Emily Roseman, PH.D.

• Clinical Social Worker in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.

Verify at the official NPI Registry.