Elizabeth Wagner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6019 Westside Saginaw Rd
Bay City, MI 48706-9357

Phone

(989) 686-7650

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Solutions Behavioral Healthcare Professionals, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moorhead, MN
  • NPI 1801909239

  Clinical

  Medicare reassignment NPD
• Lutheran Child and Family Service of Michigan

  • Community/Behavioral Health Agency
  • Bay City, MI
  • NPI 1063409480
  NPD (past)
• Empowering Kids Perham

  • Clinic/Center
  • Perham, MN
  • NPI 1831607423
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1174096481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 WESTSIDE SAGINAW RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069357",
            "telephone_number": "989-686-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WESTSIDE SAGINAW RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069357",
            "telephone_number": "989-686-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Fox St",
            "address_purpose": "LOCATION",
            "city": "Perham",
            "state": "MN",
            "postal_code": "565732337",
            "country_code": "US",
            "telephone_number": "218-346-2322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vpa PC
• W.M. Kais, DDS PLC
• Alexis Nicole Wackerle
• Richard L Wacksman, MD
• Jessica Wagner- Jeske, OD
• Jacob Wagner
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kaylee Wald
• Melissa Rae Waldie

• Clinical Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.