ALICIA ANN WAGNER (NPI# 1649782574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649782574 |
| Entity Type | Individual |
| Full Name | ALICIA ANN WAGNER |
| Other Name | ALICIA ANN HOLDORF |
| Credential | LMHP, MSW |
| Practice Address |
900 W Norfolk Ave Ste 200 Norfolk NE 68701-5006 |
| Practice Telephone | 4023703140 |
| Mailing Telephone | 4023703140 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
4490 | NE | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1556 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376085993 | Alicia Ralston Wagner | Physical Therapist | 13357 Little Antietam Rd, Hagerstown, MD 21742-4951 | 2016-11-14 |
| 1235737966 | Alicia Wagner | Physical Therapist | 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 | 2020-10-14 |
| Street Address |
900 W NORFOLK AVE STE 200 |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508920216 | Behavioral Health Specialists Inc | Community/Behavioral Health | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2006-12-20 |
| 1982224077 | Cheyenne S Akes | Counselor | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2020-04-20 |
| 1265082770 | Janel Burival | Case Manager/Care Coordinator | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2019-09-17 |
| 1649820234 | Jennae Marie Kester | Case Manager/Care Coordinator | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2019-09-16 |
| 1578120200 | Karli Hellbusch | Case Manager/Care Coordinator | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2019-05-29 |
| 1497312490 | Shelly L Garrett | Counselor | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2019-05-24 |
| 1154885713 | Victoria Lynn Riley | Case Manager/Care Coordinator | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2019-01-29 |
| 1154895720 | Michelle Sue Hammock | Counselor | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2019-01-17 |
| 1093283236 | Paige Marie Schroeder | Case Manager/Care Coordinator | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2018-11-06 |
| 1013495118 | Jessica Fouts | Case Manager/Care Coordinator | 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| 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 |
|---|---|---|---|---|
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| 1972102390 | Janice M Porter | Social Worker | 714 Muskogee Ave, Norfolk, VA 23509-1614 | 2020-10-19 |
| 1497352843 | Paige Melton | Social Worker | 4312 Colonial Ave # 1, Norfolk, VA 23508-2804 | 2020-10-07 |
| 1982219044 | Hampton Roads Trauma and Recovery Treatment Center | Social Worker | 3568 Ladd Ave, Norfolk, VA 23502-4217 | 2020-09-14 |
| 1073141719 | Lynette Katherine Johnson | Social Worker | 8313 Nathan Ave, Norfolk, VA 23518-2239 | 2020-03-30 |
| 1396378436 | Kameel Alicia Hall | Social Worker | 1765 E Little Creek Rd Apt 101, Norfolk, VA 23518-4212 | 2020-02-18 |
| 1831721166 | Building Lives In Unison, Inc | Social Worker | 2121b Keller Ave, Norfolk, VA 23504-3106 | 2020-02-05 |
| 1023592011 | Denise Janelle Ferreira | Social Worker | 30 Hunter Ave, Norfolk, MA 02056-1232 | 2018-09-17 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1689183386 | Healing Hearts Support Services LLC | Social Worker | 5660 E Virginia Beach Blvd Ste 204, Norfolk, VA 23502-2468 | 2017-09-25 |
| Find all providers in NORFOLK | ||||
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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.