Active NPI
Maresha Wagner
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1982009726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106176
- Practice address
- PO Box 19162
Sacramento, CA 95819-0162 - Phone
- (916) 282-9862
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34410 | MD | |
| Clinical Social Worker | 1041C0700X | 106176 | CA | Primary |
Addresses
Primary practice location
PO Box 19162
Sacramento, CA 95819-0162
Mailing address
PO Box 19162
Sacramento, CA 95819-0162
Phone (916) 282-9862
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34410 | MD | MD | Clinical Social Worker |
| 106176 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777075200000",
"number": "1982009726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19162",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958190162",
"telephone_number": "916-282-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 19162",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958190162",
"telephone_number": "916-282-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "MARESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2026-04-25",
"certification_date": "2026-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "34410",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "106176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.