Fannie Rodgers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002631 Issued in MO

Practice address

11018 Worchester Dr
Saint Louis, MO 63136-5829

Phone

(314) 355-4337

NPI assigned

Jul 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridges Community Services IncGroup PAC ID 7214305671, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Bridges Community Services Inc

  • Counselor
  • Murrieta, CA
  • NPI 1508582818

  MO

  Medicare reassignment Care Compare group NPD
• Bridges Community Services Inc

  • Mental Health Counselor
  • Murrieta, CA
  • NPI 1245009612
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1841499019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11018 WORCHESTER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365829",
            "telephone_number": "314-355-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11018 WORCHESTER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365829",
            "telephone_number": "314-355-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "FANNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493514525",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Irene Rodenberg
• Alexis Rodgers
• Barbara Rodgers, RPH
• Elizabeth Rodgers
• Emily Inge Webb Rodgers, D.O.
• Heide Alexandra Rodgers, MD
• Regina Danielle Rodgers
• Brenda F. Rodi, F.N.P.
• Miriam B Rodin, MD
• Laheart Marie Rodney, CAA

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.