Provider Demographics
NPI:1891232385
Name:ROGERS, DEBORAH SILVA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SILVA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:SILVA
Other - Last Name:CANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:302 SAINT JOHNS AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2982
Mailing Address - Country:US
Mailing Address - Phone:646-284-6316
Mailing Address - Fax:
Practice Address - Street 1:302 SAINT JOHNS AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2982
Practice Address - Country:US
Practice Address - Phone:646-284-6316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090438-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical