Active NPI
Karen L Wagner, M.S.W.
- Social Worker
- Alpena, MI
National Provider Identifier
1730243288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801080389
- Practice address
- 1185 US Highway 23 N
Alpena, MI 49707-8018 - Phone
- (989) 356-4049
- Fax
- (989) 356-6287
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801080389 | MI | Primary |
Addresses
Primary practice location
1185 US Highway 23 N
Alpena, MI 49707-8018
Mailing address
1185 US Highway 23 N
P.O. Box 857
Alpena, MI 49707-8018
Phone (989) 356-4049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1730243288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 US HIGHWAY 23 N",
"address_2": "P.O. BOX 857",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078018",
"telephone_number": "989-356-4049",
"fax_number": "989-356-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 US HIGHWAY 23 N",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078018",
"telephone_number": "989-356-4049",
"fax_number": "989-356-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "KAREN",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801080389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.