KARLA WAGNER (NPI# 1104310978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104310978 |
| Entity Type | Individual |
| Full Name | KARLA WAGNER |
| Practice Address |
2100 Raybrook St Se Ste 203 Grand Rapids MI 49546-5783 |
| Mailing Address |
1157 Treeway Nw Sparta MI 49345-8240 |
| Practice Telephone | 6169541554 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376627 | Karla Kay Wagner | Counselor | 3309 31st Street, Columbus, NE 68601 | 2015-05-26 |
| 1942395652 | Karla Lee Wagner | Obstetrics & Gynecology | 745 Buena Vista Dr, Lander, WY 82520-3431 | 2006-10-04 |
| 1407815038 | Karla Montgomery Wagner | Pediatrics | 2111 Laurel Bush Rd, Suite H, Bel Air, MD 21015-6156 | 2006-03-22 |
| 1538147681 | Karla J Wagner | Nurse Anesthetist, Certified Registered | 520 S Santa Fe Ave, Suite 260, Salina, KS 67401-4190 | 2006-01-07 |
| Street Address |
2100 RAYBROOK ST SE STE 203 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891869871 | Margaret Ann Rose | Social Worker | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2006-11-20 |
| 1922592971 | Debra Kay Kridler | Registered Nurse | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2018-06-21 |
| 1366936999 | Amy Lynn Kliven | Social Worker | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2018-06-18 |
| 1467809236 | Ayesha Syed | Nurse Practitioner | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2016-05-20 |
| 1154728574 | Cecilia Anne Connell | Social Worker | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2014-12-01 |
| 1871831321 | Hope Ruana Huizinga | Social Worker | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2013-01-17 |
| 1780975268 | Kathy A Myrkle | Social Worker | 2100 Raybrook St Se Ste 203, Grand Rapids, MI 49546-5783 | 2011-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1679173595 | Laura Ann Dillivan | Social Worker | 1545 Cole Ave Ne, Grand Rapids, MI 49505-5026 | 2020-10-29 |
| 1912510033 | Alexandra Burke Hagerty | Social Worker | 1047 Wealthy St Se, Grand Rapids, MI 49506-1551 | 2020-08-28 |
| 1124643689 | Lavange Barth LLC | Social Worker | 400 Monroe Ave Nw Ste 400, Grand Rapids, MI 49503-1476 | 2020-06-10 |
| 1962026641 | Maya Louise Williams | Social Worker | 1101 Ball Ave Ne Bldg D, Grand Rapids, MI 49505-5904 | 2020-05-29 |
| 1720618242 | Terri Lynn Ingram | Social Worker | 1030 Sunrise Ln Nw, Grand Rapids, MI 49534-3679 | 2020-01-23 |
| 1528698206 | Kristen Zolen | Social Worker | 3310 Eagle Park Dr Ne, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1437789120 | Ann Louise Przybysz | Social Worker | 3310 Eagle Park Dr Ne Ste 100, Grand Rapids, MI 49525-4574 | 2020-01-22 |
| 1649810276 | Dana Harrison | Social Worker | 500 Fulton St E Apt 303, Grand Rapids, MI 49503-4491 | 2020-01-12 |
| 1336781939 | Samantha L Klokkert | Social Worker | 2013 Eastcastle Dr Se Ste B, Grand Rapids, MI 49508-8873 | 2019-10-15 |
| 1952958191 | Morgan Fegel | Social Worker | 2040 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2019-08-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.