Healthcare Provider Details

I. General information

NPI: 1447911904
Provider Name (Legal Business Name): MEGHAN ROGERS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 WILLOW BEND DR APT 2D
OWINGS MILLS MD
21117-2696
US

IV. Provider business mailing address

133 WILLOW BEND DR APT 2D
OWINGS MILLS MD
21117-2696
US

V. Phone/Fax

Practice location:
  • Phone: 443-541-4207
  • Fax:
Mailing address:
  • Phone: 443-541-4207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22848
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: