Roger Pederson, LCSW

NPI: 1912906058

Roger Pederson, LCSW

Q: What is Roger Pederson's NPI number?

Roger Pederson's NPI number is 1912906058, a unique 10-digit identifier issued by CMS.

Q: What does Roger Pederson specialize in?

Roger Pederson specializes in Specialty not listed, taxonomy code 101Y00000X.

Q: Where does Roger Pederson practice?

Roger Pederson practices in Elkhart, IN 46516-3102.

Q: When was Roger Pederson's NPI issued?

Roger Pederson's NPI was issued on July 20, 2005.

Q: What is Roger Pederson's provider type?

Roger Pederson is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: July 20, 2005

Quick Facts

NPI Number

1912906058

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy101Y00000X — Specialty not listed

Phone

(574) 523-3347

StateIN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1912906058)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 20, 2005)

Data source: CMS NPPES

Provider Overview

ROGER PEDERSON, LCSW is a Healthcare provider based in Elkhart, IN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1912906058

Provider TypeIndividual Provider

GenderMale

CredentialLCSW

StatusActive

Enumeration DateJuly 20, 2005

Practice Location

CityElkhart

StateIN

ZIP Code46516-3102

Phone(574) 523-3347

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code101Y00000X

License StateIN

Mailing Address

CityElkhart

StateIN

ZIP Code46516-3102

Phone(574) 523-3347

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1912906058 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1912906058for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1912906058 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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