JACQUELINE NICOLE WAGNER (NPI# 1366849473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366849473 |
| Entity Type | Individual |
| Full Name | JACQUELINE NICOLE WAGNER |
| Other Name | JACQUELINE NICOLE SCHNECK |
| Credential | MLSW |
| Practice Address |
1613 M 139 Benton Harbor MI 49022-5748 |
| Practice Telephone | 2699340716 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801097554 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447598362 | Jacqueline Lee Wagner | Family Medicine | 1713 E Sherman Ave, Coeur D Alene, ID 83814-5326 | 2013-01-28 |
| 1104131648 | Jacqueline Wagner | Speech-Language Pathologist | 1640 N Wells St, Suite 103, Chicago, IL 60614-6087 | 2010-08-09 |
| 1861646010 | Jacqueline Rae Wagner | Occupational Therapist | 5842 Hobe Ln, White Bear Lake, MN 55110-4183 | 2008-11-13 |
| Street Address |
1613 M 139 |
| City | BENTON HARBOR |
| State | MI |
| Zip Code | 49022-5748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598165581 | Melissa Zimmerman | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2014-08-27 |
| 1700487238 | Rose A Ferrell | Psychologist | 1613 M 139, Benton Harbor, MI 49022-5748 | 2020-11-02 |
| 1538790910 | Kristine Elizabeth Gervasi | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2020-02-04 |
| 1518516921 | Jessica J Brooks | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-09-09 |
| 1376102632 | Doris Omari | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-06-11 |
| 1497211247 | Alyssa Marie Shelton | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-02-18 |
| 1407312895 | Heather Ann Sorensen | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2019-02-11 |
| 1053881409 | Rebecca Nell Burmeister | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-11-28 |
| 1194295626 | Dulce Reyes-cooke | Counselor | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-11-27 |
| 1114494069 | Brent Matthew Weber | Psychologist | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852438 | Heather A Harrison | Pharmacist | 1485 S M139, Benton Harbor, MI 49022 | 2017-10-17 |
| 1013426220 | Valerie Fulton | Chore Provider | 2457 Plaza Dr, Benton Harbor, MI 49022 | 2017-09-20 |
| 1124544101 | Felecia Howell | Social Worker | 1485 M139, Benton Harbor, MI 49022 | 2017-08-21 |
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1780130419 | Jennifer Hoover | Pharmacist | 1701 M-139, Benton Harbor, MI 49022 | 2016-09-01 |
| 1841646395 | Josefina Pena-ogando | Counselor | 185 E Main St Ste 402, Benton Harbor, MI 49022 | 2016-05-13 |
| 1295116648 | Claudia Olivia Pozo | Counselor | 1458 M 139, Benton Harbor, MI 49022 | 2015-06-11 |
| 1063809515 | Patrick K Hanlin | Counselor | 800 M- 139, Benton Harbor, MI 49022 | 2015-04-22 |
| 1912280835 | Kimberly Anne Hardt | Pharmacist | 875 E.napier, Benton Harbor, MI 49022 | 2011-09-27 |
| 1407150279 | Ldbh, LLC | Clinic/Center | 338 8th Street, Benton Harbor, MI 49022 | 2011-01-07 |
| Find all providers in zip 49022 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548797848 | Lauren Elise Midkiff | Social Worker | 1485 M-139, Benton Harbor, MI 49022 | 2017-05-17 |
| 1376909283 | Kimberly Ferguson | Social Worker | 497 Waukonda Ave, Benton Harbor, MI 49022-3142 | 2016-01-07 |
| 1851720338 | Marian Tripplett | Social Worker | 818 S Crystal Ave, Benton Harbor, MI 49022-1618 | 2013-11-05 |
| 1144309154 | Patti Jo Albert | Social Worker | 1485 S. M-139, Benton Harbor, MI 49022 | 2006-11-02 |
| 1538173968 | Sarah Elizabeth Frey | Social Worker | 777 Riverview Dr, Benton Harbor, MI 49022-5065 | 2006-07-28 |
| 1154959757 | Lucretia Ellen Vantuyle | Social Worker | 497 Waukonda Ave, Benton Harbor, MI 49022-3142 | 2020-03-30 |
| 1942854732 | Stephanie Lynn Rutherford | Social Worker | 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 | 2019-07-30 |
| 1285196014 | Amber Lynn Johnson | Social Worker | 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 | 2019-04-01 |
| 1124535281 | Herbert Clinton-cooper Krueger | Social Worker | 1613 M 139, Benton Harbor, MI 49022-5748 | 2018-01-10 |
| 1972016426 | Joann Marie Klupp | Social Worker | 1850 Colfax Ave, Benton Harbor, MI 49022-6753 | 2017-11-07 |
| Find all providers in BENTON HARBOR | ||||
| City | BENTON HARBOR |
| Zip Code | 49022 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.