Healthcare Provider Details

I. General information

NPI: 1548398068
Provider Name (Legal Business Name): SYLVIA D. ROGERS L.C.S.W-C INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5602 BALTIMORE NATIONAL PIKE SUITE 302B
CATONSVILLE MD
21228-1411
US

IV. Provider business mailing address

1339 VALLEYBROOK RD
BALTIMORE MD
21229-1243
US

V. Phone/Fax

Practice location:
  • Phone: 410-869-9091
  • Fax: 410-869-9092
Mailing address:
  • Phone: 410-869-9091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC13860
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07097
License Number StateMD

VIII. Authorized Official

Name: SYLVIA DOREEN ROGERS
Title or Position: CLINICAL DIRECTOR
Credential: LCSWC
Phone: 410-869-9091