Nancy Elizabeth Wagner, MSW LCSW LISAC is a
Social Worker - Clinical based in Phoenix, Arizona. Nancy Elizabeth Wagner is licensed to practice in Arizona (license number LCSW-11534) and her current practice location is
2408 E Pecos Rd, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 329-9688.
NPI number for Nancy Elizabeth Wagner is 1295863215 and her current mailing address is 10204 Bode St Ste B, Plainfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295863215.
Healthcare Provider's Profile
Full Name | Nancy Elizabeth Wagner |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2408 E Pecos Rd, Phoenix, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295863215
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 05/18/2021
Medical Identifiers
Medical identifiers for Nancy Elizabeth Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295863215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11062 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-11534 (Arizona) | 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. Nancy Elizabeth 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 |
Nancy Elizabeth Wagner, MSW LCSW LISAC 10204 Bode St Ste B, Plainfield, IL 60585-9813 Ph: (855) 241-7160 | Nancy Elizabeth Wagner, MSW LCSW LISAC 2408 E Pecos Rd, Phoenix, AZ 85048-8272 Ph: (480) 329-9688 |
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