Rogers, Beverly Joanne

Rogers, Beverly Joanne is an individual health care provider with primary practice located at 570 Belleville Ave Fl 4 , Belleville NJ 07109-1308. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rogers, Beverly Joanne can be contacted via phone (973) 450-3100.

Contact Information

Primary practice address
570 Belleville Ave Fl 4 Belleville NJ 07109-1308
Phone: (973) 450-3100
Fax: (973) 450-1189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05698600 New Jersey

Profile Details

NPI number 1073096343
LBN Legal business name Rogers, Beverly Joanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2018
Last updated Sep 12th, 2018 - 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 1073096343 NPPES
New Jersey MEDICAID 0008702

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