Sandra A Roellich, LCSW is a
Social Worker - Clinical based in Cashton, Wisconsin. Sandra A Roellich is licensed to practice in Wisconsin (license number 1378-123) and her current practice location is
238 Front Street, Scenic Bluffs Health Center, Cashton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 654-5100.
NPI number for Sandra A Roellich is 1033126198 and her current mailing address is Po Box 39, 238 Front Street - Scenic Bluffs Health Center, Cashton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033126198.
Healthcare Provider's Profile
| Full Name | Sandra A Roellich |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 238 Front Street, Cashton, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033126198
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 12/06/2010
Medical Identifiers
Medical identifiers for Sandra A Roellich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033126198 | NPI | - | NPPES |
| 39290700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CERT #1344 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1378 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1378-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra A Roellich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sandra A Roellich, LCSW
Po Box 39, 238 Front Street - Scenic Bluffs Health Center,
Cashton, WI 54619
Ph: (608) 654-5100 | Sandra A Roellich, LCSW
238 Front Street, Scenic Bluffs Health Center,
Cashton, WI 54619
Ph: (608) 654-5100 |
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