Terrence Allen Rogalla, MSSW, LCSW, CEAP in Wilton, WI - Social Worker

Terrence Allen Rogalla, MSSW, LCSW, CEAP is a Social Worker - Clinical based in Wilton, Wisconsin. Terrence Allen Rogalla is licensed to practice in Wisconsin (license number 6802-123) and his current practice location is 738 Arrowhead Blvd, Wilton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 343-8681.

NPI number for Terrence Allen Rogalla is 1659403947 and his current mailing address is 738 Arrowhead Blvd, Wilton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659403947.

Contact Information

	Terrence Allen Rogalla, MSSW, LCSW, CEAP
	738 Arrowhead Blvd, Wilton, WI 54670-6006
	(608) 343-8681
	Not Available

Healthcare Provider's Profile

Full Name	Terrence Allen Rogalla
Gender	Male
Speciality	Social Worker - Clinical
Location	738 Arrowhead Blvd, Wilton, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1659403947
Provider Enumeration Date: 03/12/2007
Last Update Date: 03/29/2012

Medical Identifiers

Medical identifiers for Terrence Allen Rogalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659403947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6802-123 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terrence Allen Rogalla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Terrence Allen Rogalla, MSSW, LCSW, CEAP 738 Arrowhead Blvd, Wilton, WI 54670-6006 Ph: (608) 343-8681	Terrence Allen Rogalla, MSSW, LCSW, CEAP 738 Arrowhead Blvd, Wilton, WI 54670-6006 Ph: (608) 343-8681

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Terrence Allen Rogalla, MSSW, LCSW, CEAP - Clinical Social Worker in Wilton, WI