Individual
JAIME BOYINGTON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 PLEASANT STREET, PASSADUMKEAG, ME 04475-0004
(207) 732-5513
(207) 794-6777
Mailing address
47 PLEASANT ST, PASSADUMKEAG, ME 04475-3119
(207) 290-1338
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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