Provider Demographics
NPI:1235609264
Name:ROGERS, RIKKI L (LCSW)
Entity Type:Individual
Prefix:
First Name:RIKKI
Middle Name:L
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 N CENTER ST # 148
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1320
Mailing Address - Country:US
Mailing Address - Phone:828-278-8131
Mailing Address - Fax:828-800-9449
Practice Address - Street 1:419 2ND ST NW STE D
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-4942
Practice Address - Country:US
Practice Address - Phone:828-278-8131
Practice Address - Fax:828-800-9449
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0135961041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical