Active NPI
Marlene R. Rodgers, LCSW AND LMHC
- Clinical Social Worker
- Merrick, NY
National Provider Identifier
1760716682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005628A
- Practice address
- 3301 Robbin LN
Merrick, NY 11566-5541 - Phone
- (516) 581-5555
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001967A | IN | |
| Clinical Social Worker | 1041C0700X | 34005628A | IN | Primary |
| Clinical Social Worker | 1041C0700X | 079394 | NY |
Addresses
Primary practice location
3301 Robbin LN
Merrick, NY 11566-5541
Mailing address
3301 Robbin LN
Merrick, NY 11566-5541
Phone (516) 581-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001967A | IN | MD | Mental Health Counselor |
| 34005628A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LCSW of New York PLLC | Mental Health | Current | Accepting new patients |
| Sacred Space Therapy | Clinical | Current | Accepting new patients |
| Senior Care Therapy LLC | Clinical | Current | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Flushing, NY
- NPI 1932677168
Mental Health
-
- Clinical Psychologist
- Passaic, NJ
- NPI 1285898098
-
- Clinical Social Worker
- Merrick, NY
- NPI 1306615794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1760716682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 ROBBIN LN",
"city": "MERRICK",
"state": "NY",
"postal_code": "115665541",
"telephone_number": "516-581-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 ROBBIN LN",
"city": "MERRICK",
"state": "NY",
"postal_code": "115665541",
"telephone_number": "516-581-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "MARLENE",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "LCSW AND LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001967A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005628A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.