Healthcare Provider Details

I. General information

NPI: 1821002932
Provider Name (Legal Business Name): MARIANNE E ROGERS LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIANNE E REDMOND LCSW, LCAS

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/21/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 CHARLOTTE ST
ASHEVILLE NC
28801-1466
US

IV. Provider business mailing address

306 PINE HILL DRIVE
SWANNANOA NC
28778
US

V. Phone/Fax

Practice location:
  • Phone: 828-582-8907
  • Fax: 828-544-1201
Mailing address:
  • Phone: 828-582-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1125
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004619
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: