JENNIFER WAGNER (NPI# 1881050607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881050607 |
| Entity Type | Individual |
| Full Name | JENNIFER WAGNER |
| Credential | LCSW |
| Practice Address |
800 S Milwaukee Ave Ste 105 Libertyville IL 60048-3268 |
| Mailing Address |
26194 N Hickory Ave Mundelein IL 60060-4006 |
| Practice Telephone | 8478169180 |
| Practice Fax Number | 8478169183 |
| Mailing Telephone | 2246271457 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149015113 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508392135 | Jennifer Wagner | Counselor | 702 Holly St, Atlanta, TX 75551-2308 | 2017-05-02 |
| 1093117731 | Jennifer Ann Wagner | Speech-Language Pathologist | 700 Missouri Ave, Jeffersonville, IN 47130-3082 | 2014-09-25 |
| 1578843694 | Jennifer Wagner | Social Worker | 418 Grace Ln, Austin, TX 78746-4813 | 2011-08-19 |
| 1356504674 | Jennifer Kathleen Wagner | Orthopaedic Surgery | 4401 Garth Rd Ste 200, Baytown, TX 77521-2122 | 2008-07-07 |
| 1790956258 | Jennifer Camden Wagner | Physical Therapist | 2904 Hickory Ct, Woodridge, IL 60517-4501 | 2008-03-12 |
| 1619165669 | Jennifer Lynn Wagner | Registered Nurse | 6020 Musketeer Dr, Cincinnati, OH 45248-3035 | 2007-10-03 |
| 1679767396 | Jennifer L Wagner | Audiologist | 2035 Commerce Dr Ste 208, Bluffton, IN 46714-9295 | 2007-09-06 |
| 1760674386 | Jennifer Lynn Wagner | Occupational Therapist | 206 Deerlea Ln, Boonton, NJ 07005-9511 | 2007-08-16 |
| 1609980093 | Jennifer R Wagner | Physician Assistant | 20201 Ne 21st Ave, Miami, FL 33179-2804 | 2006-08-19 |
| 1033188412 | Jennifer Ann Wagner | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2006-03-16 |
| Street Address |
800 S MILWAUKEE AVE STE 105 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| 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 |
|---|---|---|---|---|
| 1821697053 | Gagan Kler | Social Worker | 200 Peterson Rd, Libertyville, IL 60048-1006 | 2020-10-19 |
| 1659911261 | Tricia E Johnson | Social Worker | 1524 Juliet Ln, Libertyville, IL 60048-4426 | 2020-01-11 |
| 1518478296 | Melissa Buenik | Social Worker | 1117 Trevor Cir, Libertyville, IL 60048-4419 | 2017-10-20 |
| 1508297284 | August Stieber | Social Worker | 1580 S Milwaukee Ave Ste 407, Libertyville, IL 60048-3775 | 2013-12-06 |
| 1720320286 | Sarah Seiberlich | Social Worker | 1870 W Winchester Rd Ste 203, Libertyville, IL 60048 | 2013-03-22 |
| 1396022067 | Olga Prutnikov | Social Worker | 1800 Hollister Dr Ste 201, Libertyville, IL 60048-5266 | 2011-11-09 |
| 1124330378 | Carol Phillips Hamilton | Social Worker | 1512 Artaius Pkwy Ste 300, Libertyville, IL 60048-5231 | 2010-07-03 |
| 1760679047 | Gretchen Kathryn Clemens | Social Worker | 1580 S Milwaukee Ave, Suite #407, Libertyville, IL 60048-3764 | 2007-10-01 |
| 1346441748 | Jill Arin Rosenfeld | Social Worker | 114 W Rockland Road, Libertyville, IL 60048 | 2007-05-31 |
| 1174747257 | David Benton Miller | Social Worker | 1590 S. Milwaukee Ave, Suite 208, Libertyville, IL 60048 | 2007-04-12 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on JENNIFER 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.