Provider Demographics
NPI:1437115540
Name:ROGERS, DEBBY K (MSW-LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBBY
Middle Name:K
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MSW-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-0104
Mailing Address - Country:US
Mailing Address - Phone:888-203-9499
Mailing Address - Fax:812-988-8572
Practice Address - Street 1:500 POLK AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1628
Practice Address - Country:US
Practice Address - Phone:888-203-9499
Practice Address - Fax:812-988-8572
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005418A1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical