Deborah A Wagner, LCSW is a
Social Worker - Clinical based in Menasha, Wisconsin. Deborah A Wagner is licensed to practice in * (Not Available) (license number 7536) and her current practice location is
1095 Midway Rd, Menasha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 720-2300.
NPI number for Deborah A Wagner is 1316275746 and her current mailing address is 1095 Midway Rd, Menasha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316275746.
Healthcare Provider's Profile
| Full Name | Deborah A Wagner |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1095 Midway Rd, Menasha, Wisconsin |
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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: 1316275746
- Provider Enumeration Date: 11/23/2009
- Last Update Date: 11/23/2009
Medical Identifiers
Medical identifiers for Deborah A Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316275746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12904 (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 127241 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7536 (* (Not Available)) | 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. Deborah A 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 |
|---|
Deborah A Wagner, LCSW
1095 Midway Rd,
Menasha, WI 54952-1115
Ph: (920) 720-2300 | Deborah A Wagner, LCSW
1095 Midway Rd,
Menasha, WI 54952-1115
Ph: (920) 720-2300 |
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