MEDICARE: MS. BARBRA J ROGOFF 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	C010797	NC

General Provider Information

NPI Number	:	1487939195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBRA J ROGOFF LCSW

Provider Business Mailing Address
First Line	:	130 MINE LAKE CT STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6417
Country	:	US
Telephone Number	:	919-201-3498
Fax Number	:	919-885-1014

Provider Business Practice Location Address
First Line	:	130 MINE LAKE CT STE 200
Second Line	:	VIRTUAL ONLY
City	:	RALEIGH
State	:	NC
Zip	:	27615-6417
Country	:	US
Telephone Number	:	919-201-3498
Fax Number	:	919-885-1014

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

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	12/09/2025

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