Provider Demographics
NPI:1326108267
Name:RODGERS, STEPHEN (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:RODGERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S STEELE ST
Mailing Address - Street 2:SUITE 950
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2805
Mailing Address - Country:US
Mailing Address - Phone:720-295-4233
Mailing Address - Fax:720-295-4233
Practice Address - Street 1:50 S STEELE ST
Practice Address - Street 2:950
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2805
Practice Address - Country:US
Practice Address - Phone:720-295-4233
Practice Address - Fax:720-295-4233
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099233601041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health