Anne S Wagner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072 Issued in WY

Practice address

2622 Pioneer Ave
Cheyenne, WY 82001-3024

Phone

(307) 632-2240

Fax

(307) 637-2899

NPI assigned

Jan 8, 2007

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Anne S Wagner, LCSW, PC

  • Clinical Social Worker
  • Cheyenne, WY
  • NPI 1871592592
  Authorized official Same address or phone

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1689723041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013402",
            "telephone_number": "307-632-2240",
            "fax_number": "307-637-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 PIONEER AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013024",
            "telephone_number": "307-632-2240",
            "fax_number": "307-637-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANNE",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "286867",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF WY",
            "identifier": "303435",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "W10059",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Voycheske
• Corrine Vrijhof, BA
• Korbe Christopher Wadas
• Shaunda Lyn Waddle, CSFA
• Ron W Waeckerlin, M.D.
• Kelsey Leigh Wagner, PA
• Philip L Wagner, MD
• Megan M Wagnon, PHARMACIST
• Brock Wahlert
• Danielle Wakelin, OTR/L

• Clinical Social Worker in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.