Individual
JASON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
59 PREBLE ST, PORTLAND, ME 04101-3014
(207) 774-4248
(207) 347-7872
Mailing address
59 PREBLE ST, PORTLAND, ME 04101-3014
(207) 774-4248
(207) 347-7872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC23642
ME
Other
Enumeration date
12/17/2021
Last updated
09/03/2025
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