Peggy Wolner, Licsw, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

896 Issued in MN

Legal business name

PEGGY WOLNER, LICSW, LLC

Practice address

2000 Old West Main Street
Suite 311
Red Wing, MN 55066-1988

Phone

(651) 327-2470

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Peggy Sue Wolner, LICSWNPI 1982971339

Title

Clinical Social Worker

Phone

(651) 327-2470

Specialties & licenses 1

Addresses

Practitioners 1

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

• Peggy Wolner, LICSW

  • Clinical Social Worker
  • Red Wing, MN
  • NPI 1982971339
  NPD (past) Authorized official

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1578918330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST MAIN STREET",
            "address_2": "SUITE 311",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661988",
            "telephone_number": "651-327-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST MAIN STREET",
            "address_2": "SUITE 311",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661988",
            "telephone_number": "651-327-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY WOLNER, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "WOLNER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "651-327-2470",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Lynn Pasche, APRN
• Patterson Chiropractic PA
• James D Patterson, D.C.
• Jennifer J Patterson, D.C.
• Ryan Scott Paukert, PA-C
• Meredith Peltier
• Sean Michael Penegor
• Cheryl Louise Peters, PHARMD
• Elizabeth Petersen
• Erin Margaret Petersen

• Community/Behavioral Health Agency in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.