Active NPI
David Lenoir Rogers, LCSW
- Clinical Social Worker
- Menlo Park, CA
National Provider Identifier
1972527273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 0003711
- Practice address
- 795 Willow Rd
BLDG 351
Menlo Park, CA 94025-2539 - Phone
- (650) 493-5000
- Fax
- (650) 617-2686
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 0003711 | FL | Primary |
Addresses
Primary practice location
795 Willow Rd
BLDG 351
Menlo Park, CA 94025-2539
Mailing address
39 Angell CT
Apt 102
Stanford, CA 94305-7148
Phone (650) 799-8665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Other | CA | CLINICAL SOCIAL WORKER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW 0003711 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972527273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ANGELL CT",
"address_2": "APT 102",
"city": "STANFORD",
"state": "CA",
"postal_code": "943057148",
"telephone_number": "650-799-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WILLOW RD",
"address_2": "BLDG 351",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940252539",
"telephone_number": "650-493-5000",
"fax_number": "650-617-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DAVID",
"middle_name": "LENOIR",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 0003711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "1041C0700X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.