| Lavenda T Rogers, MSW, ,LCSWA,LLMSW | |
|
142 Rehobeth Church Rd, Clarkton, NC 28433-8014 | |
| (910) 801-4567 | |
| Not Available |
| Full Name | Lavenda T Rogers |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 142 Rehobeth Church Rd, Clarkton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497399513 | NPI | - | NPPES |
| 1025 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6851115271 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | P018294 (North Carolina) | Secondary |
| Entity Name | Brightside Counseling Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487414264 PECOS PAC ID: 1557801040 Enrollment ID: O20240911001545 |
| Mailing Address | Practice Location Address |
|---|---|
| Lavenda T Rogers, MSW, ,LCSWA,LLMSW 142 Rehobeth Church Rd, Clarkton, NC 28433-8014 Ph: (910) 801-4567 | Lavenda T Rogers, MSW, ,LCSWA,LLMSW 142 Rehobeth Church Rd, Clarkton, NC 28433-8014 Ph: (910) 801-4567 |
Olivia Patrick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 634 Willie Jacobs Ave, Clarkton, NC 28433 Phone: 910-317-2704 | |
Jessica Lynn Hockett, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Mobile Rd, Clarkton, NC 28433 Phone: 910-520-6187 |