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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790228187 | NPPES |
Kentucky | MEDICAID | 7100682490 |
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