Sandra A Roellich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1378-123 Issued in WI

Practice address

238 Front Street
Scenic Bluffs Health Center
Cashton, WI 54619

Phone

(608) 654-5100

Fax

(608) 654-5120

NPI assigned

Aug 2, 2006

Last updated

Dec 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1033126198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "address_2": "238 FRONT STREET - SCENIC BLUFFS HEALTH CENTER",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "54619",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 FRONT STREET",
            "address_2": "SCENIC BLUFFS HEALTH CENTER",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "54619",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELLICH",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "CERT #1344",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1378-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39290700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Nachowicz
• Teresa L Nundahl, M.S.
• Katherine Grace O Connor, RDH
• Tracy L O'Gara-Weibel, RDH
• Rebeca S Ratte, L.AC
• Scenic Bluffs Health Center, Inc (Scenic Bluffs Community Health Centers)
• Scenic Bluffs Health Center, Inc. (Scenic Bluffs Community Health Centers)
• Scenic Bluffs Health Center, Inc. (Scenic Bluffs Community Health Centers)
• Scenic Bluffs Health Center, Inc. (Scenic Bluffs Community Health Centers)
• Scenic Bluffs Health Center, Inc.

• Clinical Social Worker in Cashton, WI
• Providers in Cashton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.