Roger Dale Pagel in Wisconsin Rapids - Clinical
Roger Dale Pagel - NPI 1609942903
Roger Dale Pagel is a Clinical in Wisconsin Rapids, Wisconsin. Roger Dale Pagel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger Dale Pagel is 1609942903. The last update date is 2007-07-09.
Roger Dale Pagel's current location address is 320 W Grand Ave Ste 304a, Wisconsin Rapids, Wisconsin. You can contact this provider via phone number 7154246960 and fax number 7154246963. The mailing address for Roger Dale Pagel is 320 W Grand Ave Ste 304a, Wisconsin Rapids, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Dale Pagel |
|---|---|
| Address | 320 W Grand Ave Ste 304a, Wisconsin Rapids, Wisconsin |
| Phone Number | 7154246960 |
| Fax Number | 7154246963 |
| Sole Proprietor | N |
| Credentials | MSE, LCSW |
NPI Number Detail
| NPI Number | 1609942903 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 320 W Grand Ave Ste 304a |
|---|---|
| City | Wisconsin Rapids |
| State | Wisconsin (WI) |
| Post Code | 544952781 |
| Phone Number | 7154246960 |
| Fax Number | 7154246963 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2117-123 |
|
Definition: 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, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39599600 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roger Dale Pagel?
The Roger Dale Pagel has been issued the NPI (National Provider Identifier) 1609942903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Roger Dale Pagel is physically located?
The Roger Dale Pagel is situated at the following address: 320 W Grand Ave Ste 304A, Wisconsin Rapids, WI 544952781.
What is the Roger Dale Pagel's area of specialization and corresponding taxonomy classification?
The Roger Dale Pagel's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Roger Dale Pagel receive the assignment of its 1609942903 from the Centers for Medicare & Medicaid Services?
The Roger Dale Pagel was issued its 1609942903 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date was the information pertaining to Roger Dale Pagel, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Roger Dale Pagel, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.