Lisa Donette Wagner, LMSW is a
Social Worker based in Houston, Texas. Lisa Donette Wagner is licensed to practice in * (Not Available) (license number ) and her current practice location is
5420 Dashwood Dr, Ste 210, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(713) 839-9898.
NPI number for Lisa Donette Wagner is 1467613323 and her current mailing address is 7619 Portal Dr, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467613323.
Healthcare Provider's Profile
| Full Name | Lisa Donette Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 5420 Dashwood Dr, Houston, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467613323
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 06/23/2008
Medical Identifiers
Medical identifiers for Lisa Donette Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467613323 | NPI | - | NPPES |
| 09909 | Other | TX | SOCIAL WORK LICENSE |
| 180057502 | Medicaid | TX | |
| 180057501 | Medicaid | TX | |
| 1649384991 | Other | TX | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (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. Lisa Donette 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 |
|---|
Lisa Donette Wagner, LMSW
7619 Portal Dr,
Houston, TX 77071-1828
Ph: (713) 995-9347 | Lisa Donette Wagner, LMSW
5420 Dashwood Dr, Ste 210,
Houston, TX 77081-5357
Ph: (713) 839-9898 |
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