Michael Brandon Rogers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6653-C Issued in AR

Practice address

2200 Fort Roots Dr
North Little Rock, AR 72114

Phone

(501) 257-3091

NPI assigned

Jun 20, 2012

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Space Counseling Services, PLLC

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1730617705
  NPD Authorized official

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1841553286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EMERALD CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122107",
            "telephone_number": "501-612-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 W Main St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720764211",
            "country_code": "US",
            "telephone_number": "501-982-5402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2723 Foxcroft Rd Ste 202E",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722276522",
            "country_code": "US",
            "telephone_number": "501-612-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6653-C",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AR",
            "license": "PROVISIONAL (PLMSW)",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robinson, M.D.
• Karla Marcela Robles, PMHNP
• David Rockwell
• Hector Javier Rodriguez Palacio
• Lalinda Rogers
• Shelby Lynn Rogers, COTA
• Weston Douglas Rogers
• Cody Rogoff, PHARMD
• Ariel Elizabeth Rohde, PA
• Caleb Rohde, PT, DPT

• Clinical Social Worker in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.