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Courtney Nicole Rogachevsky

Social Worker

Behavioral Health & Social Service Providers

2401 Merced St, San Leandro, CA 94577-4228

PECOS Enrollment

This provider is enrolled in PECOS as COURTNEY ROGACHEVSKY.

Based on the most recent information from CMS, provider Courtney Nicole Rogachevsky is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1215660568
Provider Type
Individual
Full Name
Rogachevsky, Courtney Nicole
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/5/2022
Last Updated
7/19/2024

Contact Information

Practice Location

2401 Merced St, San Leandro, CA 94577-4228

(323) 441-6177

Unlisted Fax

Mailing Location

2401 Merced St, San Leandro, CA 94577-4228

(707) 319-6337

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 88052 California
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 114648 California

Courtney Nicole Rogachevsky

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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