Active NPI
Janalee Wagner, DSW, MSW, LICSW
- Clinical Social Worker
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW 00005189
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LW 00005189 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Pulse Counseling PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Walla Walla, WA
- NPI 1396399325
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.