Doctor Name: | SHIRLEY ROGERS |
NPI Number: | 1093108052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LSW0000005990 |
Business Practice Address: | 563 Mooneyham Rd Pikeville, TN - 373676034 |
Business Phone Number: | 4235543625 |
Business Fax Number: | |
Mailing Address: | 3062 Main Street, Pikeville Clinic PIKEVILLE |
State: | TN |
Postal Code: | 37367 |
Phone Number: | 4234472955 |
Fax Number: | 4234472405 |
NPI Enumeration Date: | 03/13/2015 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSW0000005990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |