Active NPI
Mary Angela Rogers, LCSW
- Clinical Social Worker
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1750
- Practice address
- 950 S 1St St
Louisville, KY 40203-2288 - Phone
- (502) 585-9444
- Fax
- (502) 585-9466
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C015874 | NC | |
| Clinical Social Worker | 1041C0700X | 1750 | KY | Primary |
Addresses
Primary practice location
950 S 1St St
Louisville, KY 40203-2288
Mailing address
950 S 1St St
Louisville, KY 40203-2288
Phone (502) 585-9444
Other practice location 1
5306 Nc Highway 55 Ste 105
Durham, NC 27713-7812
Phone (919) 457-1517
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9041 | Medicaid | KY | |
| 000000310497 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NC
- 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
- University of Louisville School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1750 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical North Carolina, PLLC | Current | Accepting new patients | |
| Bridgehaven, Inc. | Current | Accepting new patients | |
| Telos Health Systems Ky LLC | Clinical | Current | Accepting new patients |
| Curana Health of North Carolina PLLC | Current | Accepting new patients | |
| Senior Health and Education Partners PLLC | Current | Accepting new patients | |
| Physicians Eldercare PA | Current | Accepting new patients | |
| US Psychiatry PLLC | Past | Accepting new patients |
Locations
950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151
950 S 1st St
Louisville, KY 40203
Phone (502) 585-9444
3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403
107 Boyles Dr
Russellville, KY 42276
Phone (270) 726-9049
5306 NC Highway 55
Ste 1
Durham, NC 27713
Phone (919) 457-1517
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
280 S Beckford Dr
Henderson, NC 27536
Phone (252) 428-6141
550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Adult Mental Health Clinic/Center
- Louisville, KY
- NPI 1093823817
-
- Psychiatry Physician
- Durham, NC
- NPI 1205237245
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1265064414
-
- Psychiatry Physician
- Louisville, KY
- NPI 1902255359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1891840542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S 1ST ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032288",
"telephone_number": "502-585-9444",
"fax_number": "502-585-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S 1ST ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032288",
"telephone_number": "502-585-9444",
"fax_number": "502-585-9466"
}
],
"practiceLocations": [
{
"address_1": "5306 Nc Highway 55 Ste 105",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277137812",
"country_code": "US",
"telephone_number": "919-457-1517",
"fax_number": "919-363-7697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "MARY",
"middle_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015874",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "1750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9041",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000310497",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.