Individual provider · Type 1 NPI

Ryan Rogulich, LCSW

Clinical Social Worker · Carterville, IL

NPI number 1427713403 Active

Practice location

6355 Brandhorst Rd
Carterville, IL 62918-3322

Mailing address

109 California St, PO Box 577
Carterville, IL 62918

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.023720 (IL)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1427713403

Ryan Rogulich, LCSW's National Provider Identifier is 1427713403, issued on Nov 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Carterville, IL. The record was last updated on Sep 7, 2023.