| 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 |
|---|---|
| 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 | |
Riley Garski, APSW SAC-IT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 Two Mile Ave, Wisconsin Rapids, WI 54494 Phone: 715-421-1107 Fax: 715-421-1108 | |
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 | |
Stephanie Gudmunsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 W Jackson St, Wisconsin Rapids, WI 54495 Phone: 715-421-8845 Fax: 715-421-2266 | |
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 |