Mallory Rogers, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017750 Issued in NC

Practice address

5510 Six Forks Rd Ste 125
Raleigh, NC 27609-3884

Phone

(919) 861-4111

NPI assigned

Jun 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Longleaf Counseling & Collaboration, PLLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1295531101
  NPD Authorized official

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1730811100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 NORTHCLIFT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093727",
            "telephone_number": "252-675-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 SIX FORKS RD STE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093884",
            "telephone_number": "919-861-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MALLORY",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://one-eightycounseling.com",
            "affiliation": "N",
            "endpointDescription": "Client Portal Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5510 Six Forks Rd Ste 125",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276093884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jermaine Rogers, LCAS-A
• Kinda Rogers
• Lauren Rogers
• Lisa Jo Rogers, PMHNP-BC
• Lora Rogers, NC SLP
• Margaret Donlon Rogers, MPAP, PA-C
• Melissa Rogers, PA-C
• Miriam Patricia Rogers, RN,EDD,CNS,AOCN
• Nyisha Sharda Rogers
• Richard Leonard Rogers Jr.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.