| Doctor Name: | MRS. RUQAIYAH SHARIAH ROGERS |
| NPI Number: | 1003236662 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801090932 |
| Business Practice Address: | 4829 E Beltline Ave Ne Bldg 1 Suite 100 Grand Rapids, MI - 495259747 |
| Business Phone Number: | 6165361520 |
| Business Fax Number: | |
| Mailing Address: | Po Box 7215, GRAND RAPIDS |
| State: | MI |
| Postal Code: | 495107215 |
| Phone Number: | 6165631520 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2014 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801090932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |