Rogers, Judi Taylor
Rogers, Judi Taylor is an sole proprietor health care provider with primary practice located at 100 Mariners Dr Ste D , Kingsland GA 31548-6667. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rogers, Judi Taylor can be contacted via phone (770) 656-4401.Contact Information
Primary practice address
100 Mariners Dr Ste D
Kingsland GA 31548-6667
Phone: (770) 656-4401
Fax: (386) 283-4170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW002516 | Georgia |
Profile Details
| NPI number | 1508916503 |
|---|---|
| LBN Legal business name | Rogers, Judi Taylor |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Mar 16th, 2020 - about 4 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 | 1508916503 | NPPES |
| Georgia | MEDICAID | 00851023B |
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