MRS. KELLIE HEBERT ROGERS (LCSW) – Clinical Social Worker, NPI 1780751412

MRS. KELLIE HEBERT ROGERS (LCSW) is a healthcare provider. based in Niceville, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 17564 (FL). The NPI Number for MRS. KELLIE HEBERT ROGERS (LCSW) is 1780751412

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLIE HEBERT ROGERS (LCSW)
NPI
1780751412
Phone
(850) 729-0303
Address
1417 PARTIN DR N STE 1
Enumeration Date
29 November 2006
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507290303
Graduation Year
1999 (27 years ago)
PAC ID
0941471106
Group Practice PAC ID
3779675756
Professional Enrollment ID
I20230726003888
Address ID
FL325781426NI1417XNXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MRS. KELLIE HEBERT ROGERS (LCSW)

  • 1417 PARTIN DR N STE 1

    NICEVILLE, FL 325781426

    Phone: (850) 729-0303

    Fax: (850) 729-0305

    Type: Mailing

  • 1417 PARTIN DR N

    NICEVILLE, FL 325781430

    Phone: (850) 729-0303

    Fax: (850) 729-0305

    Type: Location

  • 1404, Murray Street, Alexandria, Rapides Parish, Louisiana, 71301, United States

    ALEXANDRIA, LA 713016839

    Phone: (318) 448-0284

    Fax: (318) 448-0280

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230726003888IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779675756View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical Social WorkerIL
Clinical Social WorkerFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KELLIE HEBERT ROGERS (LCSW)?
NPI 1780751412 is assigned to MRS. KELLIE HEBERT ROGERS (LCSW) under the national enumeration system.
Is MRS. KELLIE HEBERT ROGERS (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. KELLIE HEBERT ROGERS (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MRS. KELLIE HEBERT ROGERS (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for MRS. KELLIE HEBERT ROGERS (LCSW)?
We surface Niceville, Florida for MRS. KELLIE HEBERT ROGERS (LCSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.