Individual provider Active NPI

Mary Angela Rogers, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1891840542
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1750 Issued in KY
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

Updated by the provider on Jun 24, 2024

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 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

IdentifierTypeStateIssuer
9041MedicaidKY
000000310497OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101022000164 KY Practitioner - Clinical Social Worker 9234102427 Reassigns benefits to 2 organizations
I20230801000743 NC Practitioner - Clinical Social Worker 9234102427 Reassigns benefits to 4 organizations

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
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

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

LicenseStateTypeSpecialty
1750KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical North Carolina, PLLC CurrentSince Apr 9, 2024 Accepting new patients
Bridgehaven, Inc. CurrentSince Nov 11, 2002 Accepting new patients
Telos Health Systems Ky LLC Clinical CurrentSince Dec 4, 2023 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Apr 1, 2025 Accepting new patients
Senior Health and Education Partners PLLC CurrentSince Jun 24, 2024 Accepting new patients
Physicians Eldercare PA CurrentSince Apr 1, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.