Lisa Wagner

Primary specialty

Social WorkerTaxonomy code 104100000X

License

09909 Issued in TX

Legal business name

LISA WAGNER

Doing business as

Wagner Consultant Services

Practice address

5420 Dashwood Dr
Suite 210
Houston, TX 77081-5357

Phone

(713) 839-9898

Fax

(713) 839-9494

NPI assigned

Aug 17, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa D Wagner, LMSWNPI 1467613323

Title

Social Worker

Phone

(832) 563-3237

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Wagner Consultant Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Donette Wagner, LMSW

  • Social Worker
  • Houston, TX
  • NPI 1467613323
  NPD (past) Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1649384991",
    "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": "832-563-3237",
            "fax_number": "713-995-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 DASHWOOD DR",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815357",
            "telephone_number": "713-839-9898",
            "fax_number": "713-839-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA WAGNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "832-563-3237",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "09909",
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180057501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180057502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE NUMBER",
            "identifier": "09909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagner Consultant Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Emergency Medical Services, Inc. (Lisa Emergency Medical Services)
• Lisa L. Weaver, PH.D., P.C.
• Lisa Le, O D P a
• Lisa Lott PLLC (Empower Evolve Excel Counseling & Consulting)
• Lisa P. Otey
• Maria Elena Lisac, PHD
• Elena E Lischau, OD
• Kathleen R. Liscum, MD
• Maria Lising-Pham I, MS, ATP
• Kevin Arlie Lisman, MD

• 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.