Individual provider Active NPI

Charmaine Ann Wagner-Bell, LISW

  • Clinical Social Worker
  • Fairfield, OH
National Provider Identifier
1013063320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1.0007534 Issued in OH
Practice address
6570 Sosna Dr
Fairfield, OH 45014-2279
Phone
(513) 942-3181
Fax
(513) 881-7183
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1.0007534 OH Primary

Addresses

Primary practice location

6570 Sosna Dr
Fairfield, OH 45014-2279

Mailing address

5578 Tallawanda Dr
Fairfield, OH 45014-3356
Phone (513) 942-3181

Other identifiers 1

IdentifierTypeStateIssuer
000000074912OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000377 OH Practitioner - Clinical Social Worker 9436197589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Children'S Home of Cincinnati Ohio, IncGroup PAC ID 8729581640, 18 clinicians

Practice addresses (Care Compare)

5050 Madison Rd
Cincinnati, OH 45227-1491
Phone (513) 272-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1.0007534OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium, Inc. Past Accepting new patients
Butler County Community Health Consortium, Inc. PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013063320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 TALLAWANDA DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143356",
            "telephone_number": "513-942-3181",
            "fax_number": "513-881-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 SOSNA DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450142279",
            "telephone_number": "513-942-3181",
            "fax_number": "513-881-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER-BELL",
        "first_name": "CHARMAINE",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.0007534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074912",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.