MEDICARE: HEATHER ROSE ROGERS

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	104100000X	Social Worker	LM18616	ME

General Provider Information

NPI Number	:	1811841729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ROSE ROGERS

Provider Business Mailing Address
First Line	:	5 WILSON ST
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-5421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 US ROUTE 1
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-6713
Country	:	US
Telephone Number	:	207-289-3640
Fax Number	:

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

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “ HEATHER ROSE ROGERS ” Practice Location

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