Lisa Donette Wagner, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5420 Dashwood Dr
Ste 210
Houston, TX 77081-5357

Phone

(713) 839-9898

Fax

(713) 839-9494

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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

• American Memorial Care Hospice

  • Hospice Registered Nurse
  • Houston, TX
  • NPI 1912957515
  NPD (past) Authorized official
• Lisa Wagner

  dba Wagner Consultant Services

  • Social Worker
  • Houston, TX
  • NPI 1649384991
  NPD (past) Authorized official
• Affirmed Counseling Services, Inc

  • Clinical Social Worker
  • Houston, TX
  • NPI 1295041283

  Multi-Specialty

  NPD (past)
• TCG Health Services, Inc.

  • Clinic/Center
  • Rosharon, TX
  • NPI 1093037962

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1467613323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 PORTAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711828",
            "telephone_number": "713-995-9347",
            "fax_number": "713-995-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 DASHWOOD DR",
            "address_2": "STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815357",
            "telephone_number": "713-839-9898",
            "fax_number": "713-839-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LISA",
        "middle_name": "DONETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649384991",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180057501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "09909",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180057502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holden Wagner, MD
• Jamie Lynn Wagner, D.O.
• Jennifer Wagner, PHARMD
• Kenneth W Wagner, PA-C
• Kevin Wagner, PH.D.
• Makaylah Wagner
• Sarah Wagner, RD, MPH
• Shondi Wagner
• Victoria Wagner, MD
• Frederick Ranson Wagoner, LPCA

• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.