Individual
JAIME BOYINGTON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11838
ME
1041C0700X
Clinical Social Worker
MC10690
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060207
ANTHEM
ME
01
—
201837
NGS
ME
05
—
263840099
—
ME
Enumeration date
09/12/2006
Last updated
01/14/2025
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