# GERALD W ROGERS M.A.,M.S.W.,PHD,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295953156
- **Authorized official:** DR. GERALD WAYNE ROGERS PHD, P.A. (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (806) 354-9996

## Contact information

- **Practice address:** 7480 GOLDEN POND SUITE 400, AMARILLO, TX 79121
- **Practice address phone:** (806) 354-9996
- **Practice address fax:** (806) 354-9995
- **Mailing address:** PO BOX 50660, AMARILLO, TX 79159-0660
- **Mailing address phone:** (806) 354-9996
- **Mailing address fax:** (806) 354-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | TX | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 07/21/2022