Breanne Nicolle Rogers, CSW | |
1350 Us Highway 62 W, Princeton, KY 42445-6106 | |
(270) 365-2008 | |
Not Available |
Full Name | Breanne Nicolle Rogers |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1350 Us Highway 62 W, Princeton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841816428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 254996 (Kentucky) | Secondary |
1041C0700X | Social Worker - Clinical | 257406 (Kentucky) | Primary |
Entity Name | Lifeskills, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330 |
Mailing Address | Practice Location Address |
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Breanne Nicolle Rogers, CSW Po Box 614, Hopkinsville, KY 42241-0614 Ph: (270) 886-2205 | Breanne Nicolle Rogers, CSW 1350 Us Highway 62 W, Princeton, KY 42445-6106 Ph: (270) 365-2008 |
William Christopher Ardrey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 | |
Sonja Lee Ramey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 | |
Victoria Johnson Gray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 Fax: 270-365-2009 | |
Shandi Lynne Damron, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Us Highway 62 W, Princeton, KY 42445 Phone: 270-365-2008 Fax: 270-365-2009 |