Mr Roger Dale Pagel, MSE, LCSW | |
320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495-2781 | |
(715) 424-6960 | |
(715) 424-6963 |
Full Name | Mr Roger Dale Pagel |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 320 W Grand Ave Ste 304a, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609942903 | NPI | - | NPPES |
39599600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2117-123 (Wisconsin) | Primary |
Entity Name | Central Wisconsin Counseling Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316012396 PECOS PAC ID: 7416016209 Enrollment ID: O20081107000766 |
Mailing Address | Practice Location Address |
---|---|
Mr Roger Dale Pagel, MSE, LCSW 320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495-2781 Ph: (715) 424-6960 | Mr Roger Dale Pagel, MSE, LCSW 320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495-2781 Ph: (715) 424-6960 |
Ms. Ann A. Soe, MSSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 W Grand Ave, Suite 304a, Wisconsin Rapids, WI 54495 Phone: 715-424-6960 Fax: 715-424-6963 | |
Nicole Ann Williams, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 W Grand Ave, Wisconsin Rapids, WI 54495 Phone: 715-424-6960 | |
Craig J Rasmussen, M.A., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3930 8th St S, Suite 101, Wisconsin Rapids, WI 54494 Phone: 715-423-2030 Fax: 715-423-2032 | |
Mrs. Rebecca Sue Willard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3930 8th St S, Suite 101, Wisconsin Rapids, WI 54494 Phone: 715-423-2030 Fax: 715-423-2032 | |
Christine I Hanten, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1191 Huntington Ave, Wisconsin Rapids, WI 54494 Phone: 715-424-2712 Fax: 715-421-1885 | |
Daniel John Horgan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 |