National Provider Identifier
Kathleen Rodgers, LCSW
Kathleen Rodgers, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 277-0438.
Profile Overview
- NPI
- 1962500355
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 20, 2006
- Last Updated
- July 15, 2014
Practice Location
- 40 Hartwood RD
- Ithaca, NY 14850-9696
Phone: (607) 277-0438
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1962500355
- Entity Type
- Individual
- Last Name
- Rodgers
- First Name
- Kathleen
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 40 Hartwood RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9696
- Mailing Country
- US
- Mailing Phone
- (607) 277-0438
- Mailing Fax
- (607) 277-0438
- Practice Street Address
- 40 Hartwood RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9696
- Practice Country
- US
- Practice Phone
- (607) 277-0438
- Practice Fax
- (607) 277-0438
- Enumeration Date
- September 20, 2006
- Last Updated
- July 15, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 133021 (NY, Value Options), BB8967 (NY, Medicare Pcan)