MEDICARE: MRS. AMBER L RODGERS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	106131	TX

General Provider Information

NPI Number	:	1033845870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER L RODGERS LCSW

Provider Business Mailing Address
First Line	:	3131 EXECUTIVE DR
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-6801
Country	:	US
Telephone Number	:	325-261-0322
Fax Number	:	325-653-4218

Provider Business Practice Location Address
First Line	:	3131 EXECUTIVE DR
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-6801
Country	:	US
Telephone Number	:	325-261-0322
Fax Number	:	325-653-4218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	07/14/2025

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