Joan M Wagner, PCSW, CAP, CAC, LMSW is a
Social Worker - Clinical based in Gillette, Wyoming. Joan M Wagner is licensed to practice in Wyoming (license number PCSW-1099) and her current practice location is
801 E 4th St Ste 9, Gillette, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 257-2290.
NPI number for Joan M Wagner is 1912551201 and her current mailing address is 54 Kara Mountain Rd, Sundance, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912551201.
Healthcare Provider's Profile
Full Name | Joan M Wagner |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 801 E 4th St Ste 9, Gillette, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912551201
- Provider Enumeration Date: 07/25/2019
- Last Update Date: 02/09/2025
Medical Identifiers
Medical identifiers for Joan M Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912551201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | 118122 (Iowa) | Secondary |
1041C0700X | Social Worker - Clinical | PCSW-1099 (Wyoming) | 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. Joan M 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 |
Joan M Wagner, PCSW, CAP, CAC, LMSW 54 Kara Mountain Rd, Sundance, WY 82729-9583 Ph: (605) 214-0316 | Joan M Wagner, PCSW, CAP, CAC, LMSW 801 E 4th St Ste 9, Gillette, WY 82716-4061 Ph: (307) 257-2290 |
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