Individual
GINGER E ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11825 ROCK LANDING DR, JAMES BUILDING, NEWPORT NEWS, VA 23606-4236
(757) 873-1736
Mailing address
11825 ROCK LANDING DR, JAMES BUILDING, NEWPORT NEWS, VA 23606-4236
(757) 873-1736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
079637
NY
1041C0700X
Clinical Social Worker
Primary
0904008298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12268315
CAQH
VA
Enumeration date
07/16/2010
Last updated
10/22/2013
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