Healthcare Provider Details

I. General information

NPI: 1326903097
Provider Name (Legal Business Name): NANCY JANELLE ROGERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 VETERANS DR
LEXINGTON KY
40502-2235
US

IV. Provider business mailing address

1026 S FORK DR
SOMERSET KY
42503-9631
US

V. Phone/Fax

Practice location:
  • Phone: 606-676-0786
  • Fax:
Mailing address:
  • Phone: 606-676-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number908
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: