Individual
MRS. BEVERLY JOANNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
570 BELLEVILLE AVE FL 4, BELLEVILLE, NJ 07109-1308
(973) 450-3100
(973) 450-1189
Mailing address
570 BELLEVILLE AVE FL 4, BELLEVILLE, NJ 07109-1308
(973) 450-3100
(973) 450-1189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05698600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008702
—
NJ
Enumeration date
09/12/2018
Last updated
09/12/2018
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