Look up the most recent NPI and PECOS records

Kim E Rodgers

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as KIM RODGERS.

Based on the most recent information from CMS, provider Kim E Rodgers 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
1750889168
Provider Type
Individual
Full Name
Rodgers, Kim E
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/31/2018
Last Updated
1/20/2022

Contact Information

Practice Location

4201 Rucker Ave, Everett, WA 98203-2215

(425) 382-4000

(425) 382-4001

Mailing Location

8609 Evergreen Way, Everett, WA 98208-2619

(425) 789-3700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW60048741 Washington

Kim E Rodgers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

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Description

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