Rodgers, Alexis

Rodgers, Alexis is an individual health care provider with primary practice located at 939 Johnson Ave , Ronkonkoma NY 11779-6066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Rodgers, Alexis can be contacted via phone (631) 471-7242.

Contact Information

Primary practice address
939 Johnson Ave Ronkonkoma NY 11779-6066
Phone: (631) 471-7242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X 080139 New York

Profile Details

NPI number 1205094604
LBN Legal business name Rodgers, Alexis
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Dec 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205094604 NPPES
New York MEDICAID 02249145

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