Provider Demographics
NPI:1821039074
Name:ROGERS, ANN DUPRE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:DUPRE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:DUPRE
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:55 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4446
Mailing Address - Country:US
Mailing Address - Phone:828-231-5246
Mailing Address - Fax:408-890-4632
Practice Address - Street 1:13 1/2 EAGLE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3794
Practice Address - Country:US
Practice Address - Phone:828-231-5246
Practice Address - Fax:408-890-4632
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0040051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106322Medicaid
NC2868011Medicare PIN