Kathleen J Wagner LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

785 Issued in MT

Legal business name

KATHLEEN J WAGNER LCSW

Practice address

820 Division St
Billings, MT 59101-2049

Phone

(406) 245-1338

Fax

(406) 294-5226

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Kathleen Wagner, LCSWNPI 1417147984

Title

Director

Phone

(406) 245-1338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen J. Wagner, LCSW, LMFT

  • Clinical Social Worker
  • Billings, MT
  • NPI 1417147984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1013257302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2252",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591032252",
            "telephone_number": "406-245-1338",
            "fax_number": "406-294-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DIVISION ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591012049",
            "telephone_number": "406-245-1338",
            "fax_number": "406-294-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN J WAGNER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-245-1338",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandi M Karr, LCPC, LAC
• Amy Lea Kash
• Anna H Kasperick, R.D
• Marvin C. Kastrop, D.D.S., M.S.
• Katherine Ferrara LCSW Inc
• Alysa Nikole Kaufman
• Robert Wayne Kautz, O.D.
• Merrell Kauwe, DPM
• Kaitlin Michele Kavlie, PCLC
• Christina Ann Kavran, DO

• Clinical Social Worker in Billings, MT
• Providers in Billings, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.