Individual ProviderTrisha RodgersSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2623 N Southport Ave Apt 3f, Chicago, IL 60614-1268(773) 759-9826PECOS EnrollmentBased on the most recent information from CMS, provider Trisha Rodgers does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1023601556Provider TypeIndividualFull NameRodgers, TrishaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/16/2021Last Updated2/16/2021Contact InformationPractice LocationPractice Address2623 N Southport Ave Apt 3f, Chicago, IL 60614-1268Phone(773) 759-9826FaxUnlisted FaxMailing LocationMailing Address2623 N Southport Avenue, 3f, Chicago, IL 60614-1268Phone(773) 759-9826FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.022660Illinois