LINDA WAGNER (NPI# 1477936425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477936425 |
| Entity Type | Individual |
| Full Name | LINDA WAGNER |
| Other Name | LINDA M KICSAK |
| Credential | LCSW |
| Practice Address |
8762 Pisa Dr Apt 216 Orlando FL 32810-2119 |
| Mailing Address |
3251 Conservation Pl Apt 206 Melbourne FL 32934-8766 |
| Practice Telephone | 6072401934 |
| Mailing Telephone | 4077617772 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | SW13683 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW13683 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA DOH | SW13683 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629942 | Linda Maria Wagner | Massage Therapist | 428 Nucleus Ave, Columbia Falls, MT 59912-4007 | 2019-09-30 |
| 1366821951 | Linda Wagner | Licensed Practical Nurse | 4001 Franklin Rd, Jackson, MI 49203-2449 | 2015-05-28 |
| 1992059455 | Linda A Wagner | Registered Nurse | 1747 Veterans Hwy, Islandia, NY 11749-1534 | 2012-11-06 |
| 1750404315 | Linda Wagner | Occupational Therapist | 5216 Dorchester Dr, Erie, PA 16509-2500 | 2007-04-09 |
| 1972588606 | Linda M Wagner | Social Worker | 4055 Faber Place Dr Ste 300, North Charleston, SC 29405-8524 | 2005-12-15 |
| 1952398075 | Linda Wagner | Counselor | 5862 Cromo Dr, Suite 145, El Paso, TX 79912-5551 | 2005-10-04 |
| 1649633751 | Linda Wagner I | Counselor | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2016-04-05 |
| 1043511967 | Linda O Wagner | Nurse Practitioner | 613 Elizabeth, Ste 813, Corpus Chrristi, TX 78404-2232 | 2010-11-09 |
| 1710018312 | Linda Wagner | Registered Nurse | 451 Sterling Hwy, Homer, AK 99603-7440 | 2007-03-08 |
| 1235265190 | Linda A Wagner | Audiologist | 2611 Eubank Blvd Ne, Aztec Complex, Albuquerque, NM 87112-1312 | 2007-02-26 |
| Street Address |
8762 PISA DR APT 216 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1902405830 | Tejah Carbone | Social Worker | 2630 S Tanner Rd, Orlando, FL 32820-1202 | 2020-10-21 |
| 1871192013 | Benjamin Jose Medina | Social Worker | 5850 T G Lee Blvd Ste 400, Orlando, FL 32822-4409 | 2020-10-19 |
| 1679171821 | Gabriela C Soto | Social Worker | 3320 Pelham Rd, Orlando, FL 32803-1034 | 2020-10-10 |
| 1588261663 | Paria Maghsoudi | Social Worker | 12198 Sumter Dr, Orlando, FL 32824-7362 | 2020-10-02 |
| 1861007833 | Sabrina Crim | Social Worker | 1611 Natchez Trace Blvd, Orlando, FL 32818-9038 | 2020-09-15 |
| 1326651001 | Serenity Health & Consulting | Social Worker | 5091 Shale Ridge Trl, Orlando, FL 32818-8752 | 2020-08-24 |
| 1770101206 | Choose Joy Therapy, LLC | Social Worker | 1235 Mount Vernon St, Orlando, FL 32803-5417 | 2020-07-10 |
| 1326664897 | Stephanie Jean | Social Worker | 11806 Meadow Branch Dr Apt 717, Orlando, FL 32825-5062 | 2020-06-22 |
| 1710501077 | Chelsie Meredith | Social Worker | 4324 Stonewall Dr, Orlando, FL 32812-7940 | 2020-06-02 |
| Find all providers in ORLANDO | ||||
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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.