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NPI Code Detail

MEDICARE: JESSICA E ROGERS LISW-S

MEDICARE: JESSICA E ROGERS LISW-S
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
1104100000XSocial WorkerS.1600449OH
21041C0700XClinical Social WorkerI.2002208-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164894754
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA E ROGERS LISW-S
Provider Business Mailing Address
First Line : 855 S WALL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-1921
Country : US
Telephone Number : 614-212-4724
Fax Number :
Provider Business Practice Location Address
First Line : 855 S WALL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-1921
Country : US
Telephone Number : 614-212-4724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 10/07/2025

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Directions to “ JESSICA E ROGERS LISW-S” Practice Location

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