Ryan Rogulich, LCSW

Clinical Social Worker · Carterville, IL

Individual Active NPI

NPI number 1427713403

Practice location

6355 Brandhorst Rd
Carterville, IL 62918-3322
Phone
(618) 519-9200

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NPI record

NPI
1427713403
Entity type
Individual (Type 1)
Enumeration date
November 3, 2021
Last updated
September 7, 2023
Certified
August 31, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.023720 IL

Mailing address

109 California St
PO Box 577
Carterville, IL 62918
Phone
(618) 519-9200
Fax
(618) 985-4635

About Ryan Rogulich

Ryan Rogulich, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 6355 Brandhorst Rd, Carterville, IL 62918-3322. The NPI number 1427713403 was assigned on November 3, 2021 and the record was last updated on September 7, 2023.

Ryan Rogulich lists a license in the registry: #149.023720 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Rogulich, LCSW?

The NPI number is 1427713403.

What is the phone number of Ryan Rogulich?

The phone number listed for the practice location is (618) 519-9200.

Where is Ryan Rogulich located?

6355 Brandhorst Rd, Carterville, IL 62918-3322.

What is the taxonomy code for Ryan Rogulich?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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