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NPI Code Detail

MEDICARE: MS. LAURA LYNN ROGERS LCSW

MEDICARE:  MS. LAURA LYNN ROGERS  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
11041S0200XSchool Social WorkerNY
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social Worker149.011920IL
41041C0700XClinical Social Worker27262CA
51041C0700XClinical Social Worker075240NY

General Provider Information

NPI Number : 1679766075
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA LYNN ROGERS LCSW
Provider Business Mailing Address
First Line : 4244 CHEROKEE AVE APT 7
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-6602
Country : US
Telephone Number : 619-507-6200
Fax Number :
Provider Business Practice Location Address
First Line : 4244 CHEROKEE AVE APT 7
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-6602
Country : US
Telephone Number : 619-507-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 12/18/2024

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Directions to “ MS. LAURA LYNN ROGERS LCSW” Practice Location

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