Active NPI
Roshelle Wagner
- Social Worker
- Chinle, AZ
National Provider Identifier
1023939626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14135267-3503
- Practice address
- PO Box 1140
Chinle, AZ 86503-1140 - Phone
- (928) 674-6824
- NPI assigned
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14135267-3503 | UT | Primary |
Addresses
Primary practice location
PO Box 1140
Chinle, AZ 86503-1140
Mailing address
PO Box 566
Many Farms, AZ 86538-3566
Phone (505) 625-7762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1023939626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 566",
"city": "MANY FARMS",
"state": "AZ",
"postal_code": "865383566",
"telephone_number": "505-625-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1140",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865031140",
"telephone_number": "928-674-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "ROSHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "14135267-3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.