Individual provider Active NPI

Vania Verniece Wagner, LCSW

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1639709702
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52523 Issued in TX
Practice address
500 N 10TH St
Killeen, TX 76541-4870
Phone
(254) 213-1527
Fax
(254) 213-9736
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 52523 TX Primary

Addresses

Primary practice location

500 N 10TH St
Killeen, TX 76541-4870

Mailing address

2901 Belt Loop
Killeen, TX 76543-5931
Phone (254) 325-1070

Other identifiers 1

IdentifierTypeStateIssuer
52523OtherTXTEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS

Other names 1

  • Vania Verniece Legington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231102004120 TX Practitioner - Clinical Social Worker 0840647442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3055 Stillhouse Lake Rd
Suite 206
Harker Heights, TX 76548-8861
Phone (254) 327-1676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Therapeutic Counseling and Consulting Clinical CurrentSince Oct 19, 2023 Accepting new patients
Progressive Behavioral Health, PLLC Clinical PastSince Apr 26, 2023 Accepting new patients

Locations

3055 Stillhouse Lake Rd
Ste 206
Harker Heights, TX 76548
Phone (254) 327-1676

500 N 10th St
Ste 206
Killeen, TX 76541

500 N 10th St
Killeen, TX 76541
Phone (254) 213-1527

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1639709702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BELT LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435931",
            "telephone_number": "254-325-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 10TH ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765414870",
            "telephone_number": "254-213-1527",
            "fax_number": "254-213-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "VANIA",
        "middle_name": "VERNIECE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS",
            "identifier": "52523",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANIA",
            "last_name": "LEGINGTON",
            "middle_name": "VERNIECE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.