Rogers, Angela

Rogers, Angela is an individual health care provider with primary practice located at 425 Broadway St , Paducah KY 42001-0713. 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Rogers, Angela can be contacted via phone (270) 442-7121.

Contact Information

Primary practice address
425 Broadway St Paducah KY 42001-0713
Phone: (270) 442-7121
Fax: (270) 443-9692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 262003 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 256578 Kentucky

Profile Details

NPI number 1790228187
LBN Legal business name Rogers, Angela
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2016
Last updated Dec 27th, 2022 - about 3 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 1790228187 NPPES
Kentucky MEDICAID 7100682490

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