Angela Wagner, LCSW is a
Social Worker - Clinical based in Eugene, Oregon. Angela Wagner is licensed to practice in Oregon (license number L11945) and her current practice location is
576 Olive St Ste 307, Eugene, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 912-5913.
NPI number for Angela Wagner is 1538678446 and her current mailing address is Po Box 854, Eugene, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538678446.
Healthcare Provider's Profile
| Full Name | Angela Wagner |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 576 Olive St Ste 307, Eugene, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538678446
- Provider Enumeration Date: 09/22/2017
- Last Update Date: 11/27/2024
Medical Identifiers
Medical identifiers for Angela Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538678446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Oregon) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L11945 (Oregon) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
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. Angela Wagner 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 |
|---|
Angela Wagner, LCSW
Po Box 854,
Eugene, OR 97440-0854
Ph: (458) 317-7777 | Angela Wagner, LCSW
576 Olive St Ste 307,
Eugene, OR 97401-2995
Ph: (541) 912-5913 |
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