Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Nicole Rogachevsky, LCSW

Individual provider Clinical Social Worker · NPI 1215660568

Courtney Nicole Rogachevsky, LCSW is a Clinical Social Worker in San Leandro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2401 Merced St
San Leandro, CA 94577-4228
Phone: (323) 441-6177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 88052 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 114648 (CA)

Record details

NPI number1215660568
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 5, 2022
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

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