Provider Demographics
NPI:1093079493
Name:RODGERS, TRAMEKA DASHAWN (BSW)
Entity Type:Individual
Prefix:MRS
First Name:TRAMEKA
Middle Name:DASHAWN
Last Name:RODGERS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 N TOWERLINE RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-9466
Mailing Address - Country:US
Mailing Address - Phone:989-272-7219
Mailing Address - Fax:989-754-7829
Practice Address - Street 1:1040 N TOWERLINE RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-9466
Practice Address - Country:US
Practice Address - Phone:989-272-7219
Practice Address - Fax:989-754-7829
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker