Provider Demographics
NPI:1831208024
Name:ROGERS, JANET ELAINE (LSCSW)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:ELAINE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6220 W CASTLETON RD
Mailing Address - Street 2:
Mailing Address - City:PRETTY PRAIRIE
Mailing Address - State:KS
Mailing Address - Zip Code:67570-8508
Mailing Address - Country:US
Mailing Address - Phone:620-459-6925
Mailing Address - Fax:
Practice Address - Street 1:1716 E. 30TH
Practice Address - Street 2:SUITE B
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1230
Practice Address - Country:US
Practice Address - Phone:620-669-8700
Practice Address - Fax:620-669-8706
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS281341OtherVALUE OPTIONS
KS247063000OtherMEGELLAN HEALTH CARE
KS281341OtherVALUE OPTIONS
KS0011473Medicare ID - Type Unspecified