Healthcare Provider Details

I. General information

NPI: 1912398280
Provider Name (Legal Business Name): ROGENIA PARKER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9426 STEWARTOWN RD STE 3B
GAITHERSBURG MD
20879-1601
US

IV. Provider business mailing address

509 QUINCE ORCHARD RD # 224
GAITHERSBURG MD
20878-1435
US

V. Phone/Fax

Practice location:
  • Phone: 240-422-1858
  • Fax: 800-847-7203
Mailing address:
  • Phone: 601-497-7551
  • Fax: 800-847-7203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC9283
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberMSW006403
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006078
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: