Individual provider Active NPI

Janalee Wagner, DSW, MSW, LICSW

  • Clinical Social Worker
  • Walla Walla, WA
National Provider Identifier
1982913786
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 00005189 Issued in WA
Practice address
77 Wainwright Dr
Walla Walla, WA 99362-3975
Phone
(509) 525-5200
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW 00005189 WA Primary

Addresses

Primary practice location

77 Wainwright Dr
Walla Walla, WA 99362-3975

Mailing address

77 Wainwright Dr
Walla Walla, WA 99362-3975
Phone (509) 525-5200

Other practice location 1

5 W Alder St Ste 315
Walla Walla, WA 99362-2863
Phone (509) 240-9546

Other names 1

  • Janalee Gueck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000244 WA Practitioner - Clinical Social Worker 0547590010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 W Alder St
Suite 304
Walla Walla, WA 99362-2029
Phone (509) 520-9546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW 00005189WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Pulse Counseling PLLC Clinical CurrentSince Aug 5, 2019 Accepting new patients

Locations

5 W Alder St
Ste 315
Walla Walla, WA 99362
Phone (509) 240-9546

5 W Alder St
Ste 304
Walla Walla, WA 99362
Phone (509) 522-0274

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1982913786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WAINWRIGHT DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623975",
            "telephone_number": "509-525-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Alder St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622863",
            "country_code": "US",
            "telephone_number": "509-240-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JANALEE",
        "name_prefix": "Dr.",
        "credential": "DSW, MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00005189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANALEE",
            "last_name": "GUECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.