Provider Demographics
NPI:1821002932
Name:ROGERS, MARIANNE E (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:E
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:E
Other - Last Name:REDMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LCAS
Mailing Address - Street 1:306 PINE HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778
Mailing Address - Country:US
Mailing Address - Phone:828-582-8907
Mailing Address - Fax:
Practice Address - Street 1:247 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1466
Practice Address - Country:US
Practice Address - Phone:828-582-8907
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1125101YA0400X
NCC0046191041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003133Medicaid
NC2879644Medicare ID - Type UnspecifiedMEDICARE NUMBER