Individual provider Active NPI

Vincent Charles Rogers, MSW;LCSW;SAP

  • Clinical Social Worker
  • Harrisburg, PA
National Provider Identifier
1841389657
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019414 Issued in PA
Practice address
160 S Progress Ave
Suite 1-C
Harrisburg, PA 17109-4636
Phone
(717) 645-5233
Fax
(717) 657-3073
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW010672L PA
Clinical Social Worker 1041C0700X CW019414 PA Primary

Addresses

Primary practice location

160 S Progress Ave
Suite 1-C
Harrisburg, PA 17109-4636

Mailing address

2320 Thornton Rd
Harrisburg, PA 17109-1820
Phone (717) 645-5233

Other identifiers 1

IdentifierTypeStateIssuer
743100708OtherPAVAUE OPTIONS

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
CW019414PAMDClinical Social Worker
SW010672LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1841389657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 THORNTON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091820",
            "telephone_number": "717-645-5233",
            "fax_number": "717-234-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S PROGRESS AVE",
            "address_2": "SUITE 1-C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094636",
            "telephone_number": "717-645-5233",
            "fax_number": "717-657-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "VINCENT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MSW;LCSW;SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW010672L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VAUE OPTIONS",
            "identifier": "743100708",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.