MRS. JEANETTE B. ROGERS (LCSW) – Clinical Social Worker, NPI 1174994537

MRS. JEANETTE B. ROGERS (LCSW) is a healthcare provider. based in Bangor, Maine. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LC16730 (ME). The NPI Number for MRS. JEANETTE B. ROGERS (LCSW) is 1174994537

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANETTE B. ROGERS (LCSW)
NPI
1174994537
Phone
(207) 973-6258
Address
268 Stillwater Avenue
Enumeration Date
12 October 2015
Last Update Date
6 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079736100
Graduation Year
2015 (11 years ago)
PAC ID
4183990260
Group Practice PAC ID
7719878495
Professional Enrollment ID
I20171017002000
Address ID
ME044013945BA268XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,103 CLINICAL SOCIAL WORKER in ME

Provider Addresses for MRS. JEANETTE B. ROGERS (LCSW)

  • 268 Stillwater Avenue

    Bangor, ME 04401

    Phone: (207) 973-6258

    Type: Location

  • 503 FIVE ROAD

    CARMEL, ME 04419

    Phone: (207) 217-0679

    Fax: (207) 573-4666

    Type: Mailing

  • 43 COLUMBIA STREET, SUITE 11

    BANGOR, ME 04401

    Phone: (207) 217-0679

    Fax: (207) 573-4666

    Type: Location

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: 2017-10-17

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
I20171017002000IClinical Social WorkerMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour16213$0
90853Group psychotherapy9816$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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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: 7719878495View full group profile
NameSpecialtyState
Psychiatry, NeurologyME
P S Y C H I A T R YSD
Nurse PractitionerME
-ME
Clinical PsychologistME
P S Y C H I A T R YTX
-ME
P S Y C H I A T R YME
-ME
Family Practice, PsychiatryME

Reviews

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Frequently asked questions

How is MRS. JEANETTE B. ROGERS (LCSW) identified in CMS data?
CMS-hosted NPPES data lists MRS. JEANETTE B. ROGERS (LCSW) with NPI 1174994537.
Is MRS. JEANETTE B. ROGERS (LCSW) still practicing?
MRS. JEANETTE B. ROGERS (LCSW) is currently listed as active in the public NPI registry.
What is MRS. JEANETTE B. ROGERS (LCSW) best known for clinically?
Directory data describes MRS. JEANETTE B. ROGERS (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MRS. JEANETTE B. ROGERS (LCSW) list a practice location?
Patients near Bangor, Maine may find MRS. JEANETTE B. ROGERS (LCSW) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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