Active NPI
Margaret Stella Wangen, LICSW
- Clinical Social Worker
- Willmar, MN
National Provider Identifier
1992213011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20937
- Practice address
- 2320 Highway 12 E Ste 2
Willmar, MN 56201-5811 - Phone
- (320) 214-9692
- Fax
- (320) 214-9924
- NPI assigned
- Jan 11, 2018
- 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 | 20937 | MN | Primary |
Addresses
Primary practice location
2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Mailing address
2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone (320) 214-9692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20937 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Sevenich M.D.,J.D.,P.a. | Current | Accepting new patients | |
| Kindred Ground, LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| True Balance LTD | Clinical | Past | Accepting new patients |
| Greater Minnesota Family Services | Past | Accepting new patients |
Locations
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Crystal, MN
- NPI 1013887074
-
- Mental Health Counselor
- Willmar, MN
- NPI 1609869726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1992213011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 HIGHWAY 12 E STE 2",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562015811",
"telephone_number": "320-214-9692",
"fax_number": "320-214-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 HIGHWAY 12 E STE 2",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562015811",
"telephone_number": "320-214-9692",
"fax_number": "320-214-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGEN",
"first_name": "MARGARET",
"middle_name": "STELLA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "20937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.