Alicia Wagner Counseling LLC
Organization Active NPI Clinical Social Worker · Norfolk, NE
NPI 1619746286 · NPPES record last updated Dec 25, 2023
Key facts
- NPI
- 1619746286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ALICIA WAGNER COUNSELING LLC
- Practice address
- 1909 Vicki LN Ste 105
Norfolk, NE 68701-4542 - Phone
- (402) 256-7883
- NPI assigned
- Dec 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Alicia Wagner, LIMHP, LCSW, LADC
- Title
- Owner
- Phone
- (402) 256-7883
Practitioners 1
-
Alicia Ann Wagner, LIMHP, LCSW, LADC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240205003057 | NE | Part B Supplier - Clinic/Group Practice | 2769825991 |
Receives reassigned benefits from 1 practitioner Practice locations: Norfolk, NE |
National Provider Directory
Locations
710 S 13th St
Ste 900
Norfolk, NE 68701
Phone (402) 640-7521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1909 Vicki LN Ste 105
Norfolk, NE 68701-4542
Mailing address
710 S. 13TH St.
Ste 900 PMB 238
Norfolk, NE 68701
Phone (402) 256-7883
Other providers in Norfolk, NE
- Brunel Alcenat
- David E. Alder Jr.
- Roz Alder
- Jordan Elise Alexander
- Fowzia Alharbi
- Amanda K Allen
- Jean Allen
- Sandra Allen
- Daphyne Alley
- Barbara Allis
All providers in Norfolk, NE · Clinical Social Worker in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.