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Contact Information

SANDRA A ROELLICH, LCSW
238 FRONT STREET
SCENIC BLUFFS HEALTH CENTER
CASHTON, WI54619
 Phone: 608-654-5100
 Fax: 608-654-5120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SANDRA A ROELLICH · (Female)

NPI # 1033126198
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/02/2006
Last updated 12/06/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1378
  • WI License # 1378-123
  • WI License # CERT #1344
  • WI Medicaid 39290700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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