WILLIAM CHRISTOPHER WAGNER LCSW NPI 1790961787

NPI Information

NPI: 1790961787
Provider Name: WILLIAM CHRISTOPHER WAGNER, LCSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
746 9TH ST
TELL CITY, IN
ZIP 47586
Phone: (812) 547-2933
Get Directions

William Christopher Wagner, LCSW is an addiction (substance use disorder) counselor in Tell City, IN with 25 years of experience. William Christopher Wagner, LCSW NPI is 1790961787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

746 9TH ST
TELL CITY, IN
ZIP 47586-711
Phone: (812) 547-2933

The NPI 1790961787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/21/2008 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	34004522A	INDIANA	No
2	101Y00000X	Counselor		34004522A	INDIANA	No
3	101YM0800X	Counselor	Mental Health	34004522A	INDIANA	No
4	106H00000X	Marriage & Family Therapist		34004522A	INDIANA	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87000045A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34004522A	OTHER	INDIANA	LICENSE
2	87000045A	OTHER	INDIANA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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