Provider Demographics
NPI:1467865675
Name:ROGERS, ALLISON (LISW-CP, LAC, CS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LISW-CP, LAC, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 N LANSDOWNE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-1932
Mailing Address - Country:US
Mailing Address - Phone:864-423-7560
Mailing Address - Fax:
Practice Address - Street 1:1430 S CASHUA DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6323
Practice Address - Country:US
Practice Address - Phone:843-673-0650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
SC107501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical