SANDRA A ROELLICH (NPI# 1033126198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033126198 |
| Entity Type | Individual |
| Full Name | SANDRA A ROELLICH |
| Credential | LCSW |
| Practice Address |
238 Front Street Scenic Bluffs Health Center Cashton WI 54619 |
| Mailing Address |
Po Box 39 238 Front Street - Scenic Bluffs Health Center Cashton WI 54619 |
| Practice Telephone | 6086545100 |
| Practice Fax Number | 6086545120 |
| Mailing Telephone | 6086545100 |
| Mailing Fax Number | 6086545120 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CERT #1344 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1378-123 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1378 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39290700 | 05 |
| Street Address |
238 FRONT STREET SCENIC BLUFFS HEALTH CENTER |
| City | CASHTON |
| State | WI |
| Zip Code | 54619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357020 | James R Sueppel | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2005-09-21 |
| 1417106048 | Stacey L. Markuson | Nurse Practitioner | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631865 | Danielle Ann Dale | Dental Hygienist | 2383 Front St, Cashton, WI 54619 | 2013-02-28 |
| 1497050348 | Martin E. Mytas D.c.,s.c. | Chiropractor | 1103 Front St., Cashton, WI 54619 | 2011-01-24 |
| 1104890078 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 238 Front St, Cashton, WI 54619 | 2006-02-15 |
| 1891791067 | Mark S Heberlein | Neuromusculoskeletal Medicine & OMM | 238 Front St, Cashton, WI 54619-2002 | 2005-06-22 |
| 1144841495 | Heather Suby | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2020-04-28 |
| 1679110670 | Caroline Glover | Massage Therapist | 238 Front St, Cashton, WI 54619-2002 | 2019-12-09 |
| 1447896337 | Joanna Lovato | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2019-11-26 |
| 1225699887 | Ellen S Arndorfer | Acupuncturist | 238 Front St, Cashton, WI 54619-2002 | 2019-06-25 |
| 1457874141 | Anne Lovelace | Counselor | 238 Front St, Cashton, WI 54619-2002 | 2017-07-25 |
| 1831612746 | Katherine Grace O Connor | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2017-07-23 |
| Find all providers in zip 54619 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.