Maria Catherine Wagner, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18844 Issued in MN

Practice address

318 1St Ave SW Ste 112
Rochester, MN 55902-3624

Phone

(507) 208-4774

Fax

(507) 322-0019

NPI assigned

Oct 17, 2011

Last updated

Sep 10, 2025By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for DBT L.L.C.

  • Clinical Social Worker
  • Rochester, MN
  • NPI 1336496207
  NPD

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1669757043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 1ST AVE SW STE 112",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023624",
            "telephone_number": "507-208-4774",
            "fax_number": "507-322-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 1ST AVE SW STE 112",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023624",
            "telephone_number": "507-208-4774",
            "fax_number": "507-322-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MARIA",
        "middle_name": "CATHERINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336496207",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN# (INDIVIDUAL)",
            "identifier": "800003101",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ella Lorraine Wagner
• Jean A Wagner, APRN
• Jill Christine Wagner, MSW, LICSW
• Lilly Helene Wagner, M.D.
• Louis R Wagner
• Sophia Mae Wagner, RD
• Brian Daniel Wahlig, MD
• Erin Renee Wahlstedt, PA-C
• Anna E Wahlstrom, OTR
• Andrea Elisabeth Wahner Hendrickson, MD

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.