Lily S Wagner, MSW, LICSW | |
7251 Excelsior Rd, Baxter, MN 56425-8477 | |
(218) 454-0878 | |
Not Available |
Full Name | Lily S Wagner |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 7251 Excelsior Rd, Baxter, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366172066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24788 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakes Country Counseling Pllc | 7214257849 | 8 |
Entity Name | Lakes Country Counseling Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023322351 PECOS PAC ID: 7214257849 Enrollment ID: O20161025000047 |
Entity Name | East West Counseling And Consulting Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164291902 PECOS PAC ID: 8921448176 Enrollment ID: O20240503003398 |
Mailing Address | Practice Location Address |
---|---|
Lily S Wagner, MSW, LICSW Po Box 2506, Baxter, MN 56425-2506 Ph: (218) 454-0878 | Lily S Wagner, MSW, LICSW 7251 Excelsior Rd, Baxter, MN 56425-8477 Ph: (218) 454-0878 |
Katherine Rose Haberkorn, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Kelby Olson-rodel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 320-219-9228 | |
Linda Marie Bowman, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13397 Shadow Wood Drive, Baxter, MN 56425 Phone: 218-251-3780 | |
Julie Ann Johnson, MS, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7251 Excelsior Rd, Baxter, MN 56425 Phone: 218-454-0878 Fax: 218-454-0879 | |
Amber Endres, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12149 Knollwood Dr, Baxter, MN 56425 Phone: 218-454-6093 | |
Donna M. Brengman, M.S.W., LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 |