Individual provider Active NPI

Samarra Rogers, LCSW

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1720728702
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013858 Issued in VA
Practice address
7309 Jackson Arch Dr
Mechanicsville, VA 23111-4722
Phone
(804) 306-0112
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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 0904013858 VA Primary

Addresses

Primary practice location

7309 Jackson Arch Dr
Mechanicsville, VA 23111-4722

Mailing address

8050 Mechanicsville Tpke Unit 614
Mechanicsville, VA 23111-1278
Phone (804) 306-0112

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
0904013858VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reframed Mind Clinical CurrentSince Aug 28, 2022 Accepting new patients

Locations

8050 Mechanicsville Tpke
Unit 672
Mechanicsville, VA 23111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1720728702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 MECHANICSVILLE TPKE UNIT 614",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111278",
            "telephone_number": "804-306-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 JACKSON ARCH DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114722",
            "telephone_number": "804-306-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SAMARRA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.