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NPI Code Detail

MEDICARE: MR. PATRICK JOSEPH ROGERS LCSW

MEDICARE: MR. PATRICK JOSEPH ROGERS LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker5345-SNV
21041C0700XClinical Social WorkerIC-581NV
31041C0700XClinical Social Worker6403-CNV

General Provider Information

NPI Number : 1205013570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK JOSEPH ROGERS LCSW
Provider Business Mailing Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3896
Provider Business Practice Location Address
First Line : 1055 S WELLS AVE
Second Line :
City : RENO
State : NV
Zip : 89502-2550
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 04/02/2015

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