Provider Demographics
NPI:1700825874
Name:ROGERS, CATHERINE H (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:H
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 1:6918 SHALLOWFORD RD
Mailing Address - Street 2:SUITE 317
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6784
Mailing Address - Country:US
Mailing Address - Phone:423-855-7977
Mailing Address - Fax:423-855-7976
Practice Address - Street 1:6918 SHALLOWFORD RD
Practice Address - Street 2:SUITE 317
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6784
Practice Address - Country:US
Practice Address - Phone:423-855-7977
Practice Address - Fax:423-855-7976
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW42381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3925423Medicaid
TN3925423Medicaid