Roger Dale Pagel, MSE, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2117-123 Issued in WI

Practice address

320 W Grand Ave Ste 304a
Wisconsin Rapids, WI 54495-2781

Phone

(715) 424-6960

Fax

(715) 424-6963

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Wisconsin Counseling Associates, LLC

  • Clinical Social Worker
  • Wisconsin Rapids, WI
  • NPI 1316012396

  Clinical, WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609942903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W GRAND AVE STE 304A",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952781",
            "telephone_number": "715-424-6960",
            "fax_number": "715-424-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W GRAND AVE STE 304A",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952781",
            "telephone_number": "715-424-6960",
            "fax_number": "715-424-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGEL",
        "first_name": "ROGER",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MSE, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2117-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39599600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L Olson, MD
• Katie Marie Omernik, NP
• Opportunity Development Centers, Inc.
• Ortiz Family and Co LLC
• Maria Elizabeth Osowski, DPT
• Victoria D Pahl, PA-C
• Ruta M Pakalns, MD
• Jennifer Paltz, MS, CCC-SLP
• Park Place Adult Day Services
• Marissa Parks

• All providers in Wisconsin Rapids, WI
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.