Christine Michelle Wagner, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05354 Issued in KS

Practice address

2707 E 21St St N
Wichita, KS 67214-2249

Phone

(316) 691-0249

Fax

(866) 514-0974

NPI assigned

Jul 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcore Clinic IncGroup PAC ID 9739092131, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healthcore Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1033218565
  Medicare reassignment Care Compare group NPD
• Behavioral Medicine Specialists, PA

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1881706398
  Medicare reassignment NPD
• Gulf Coast Therapy Center

  • Mental Health Counselor
  • Nokomis, FL
  • NPI 1710517412
  NPD (past)

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1316433972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N WACO AVE STE 11",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033971",
            "telephone_number": "316-776-4360",
            "fax_number": "316-440-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142249",
            "telephone_number": "316-691-0249",
            "fax_number": "866-514-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELLE",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "05354",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ruth Wadsworth, PT, DPT
• Shawn Wadsworth, D.O.
• Abdul Wadud, MD
• Saeed E Wadud, MD
• Jason E Wagle, DDS
• Debra E Wagner, ARNP, CCRN
• Irene K Wagner, M.A., C.C.C.-A.
• Amber R Wagnon, ARNP
• Sarah Wagoner, APRN
• David R Wahl, DC

• Clinical Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.