Provider Demographics
NPI:1952161994
Name:ROGERS, ELIZABETH I
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:I
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 WOODSDALE PL SE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3520
Mailing Address - Country:US
Mailing Address - Phone:630-901-3942
Mailing Address - Fax:
Practice Address - Street 1:350 PEE DEE AVE STE A
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-4932
Practice Address - Country:US
Practice Address - Phone:866-272-7826
Practice Address - Fax:704-983-9319
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker