ERICA WAGNER (NPI# 1407259989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407259989 |
| Entity Type | Individual |
| Full Name | ERICA WAGNER |
| Practice Address |
1025 S Ohio Ave Apartment 1 Lakeland FL 33803-6200 |
| Mailing Address |
Po Box 2383 Lakeland FL 33806-2383 |
| Practice Telephone | 8635133233 |
| Mailing Telephone | 8635133233 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1851895106 | Erica Lynn Wagner | Occupational Therapist | 529 New Garden Rd, New Paris, OH 45347-9119 | 2018-03-21 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| 1649602749 | Erica L Wagner | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2013-07-31 |
| Street Address |
1025 S OHIO AVE APARTMENT 1 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| 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 |
|---|---|---|---|---|
| 1093321937 | Elina Aguiar | Social Worker | 1100 Oakbridge Pkwy Apt 240, Lakeland, FL 33803-5962 | 2020-09-16 |
| 1659738029 | Amanda Alleyne | Social Worker | 4140 Winding Vine Dr, Lakeland, FL 33812-2202 | 2016-01-15 |
| 1740677822 | Maxine Wiggan | Social Worker | 929 Gilmore Ave, Lakeland, FL 33801-1887 | 2015-04-16 |
| 1043605629 | Deanna Yeoman | Social Worker | 20 Lake Wire Dr, Lakeland, FL 33815-1519 | 2015-04-01 |
| 1033507355 | Misty Nappier | Social Worker | 20 Lake Wire Dr Ste 250, Lakeland, FL 33815-1503 | 2015-01-09 |
| 1295130326 | Michelle Dunham | Social Worker | 726 South Blvd Apt 6, Lakeland, FL 33801-5589 | 2014-10-31 |
| 1043651219 | Colleen Elizabeth Smith | Social Worker | 1010 E Rose St, Attn Colleen Smith, Lakeland, FL 33801-2016 | 2013-07-16 |
| 1831434356 | Laura Coley Croft | Social Worker | 11 Chadwick Ln, Lakeland, GA 31635-2112 | 2012-12-10 |
| 1477845345 | Gueline Felix | Social Worker | 1370 Ariana St, Lakeland, FL 33803-1817 | 2011-05-10 |
| 1982933891 | Stephanie L Kirnes | Social Worker | 310 Modest St, Lakeland, FL 33805-3123 | 2009-12-24 |
| Find all providers in LAKELAND | ||||
Please comment or provide details below to improve the information on ERICA WAGNER.
| 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.