MR. JOHN WAGENKNECHT JR. (NPI# 1396176129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396176129 |
| Entity Type | Individual |
| Full Name | MR. JOHN WAGENKNECHT JR. |
| Credential | LCSW |
| Practice Address |
2925 Mondovi Rd Eau Claire WI 54701-6141 |
| Mailing Address |
6981 Timber Ridge Cir Eau Claire WI 54701-8909 |
| Practice Telephone | 7158320238 |
| Mailing Telephone | 7155777130 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7214-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
2925 MONDOVI RD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669544649 | Jeni Lyn Gronemus | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2006-11-14 |
| 1942815279 | Jill M. Bladl | Marriage & Family Therapist | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2020-09-14 |
| 1780240184 | Alexa Evon Demoe | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2019-05-13 |
| 1013458553 | Jason Bryant | Social Worker | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2017-03-16 |
| 1689113938 | Rian Marie Rahm | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701 | 2017-02-20 |
| 1164973970 | Karissa Meyer | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701 | 2016-10-17 |
| 1184172686 | Crystal M Bryant | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2016-09-14 |
| 1144604216 | Lisa Dorn | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2015-07-17 |
| 1609293927 | Honna Pilz | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2014-03-25 |
| 1831529742 | Bridget Wampole | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2013-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| 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 |
|---|---|---|---|---|
| 1598304412 | 22 A Day Counseling L.L.C. | Social Worker | 2211 E Clairemont Ave Ste 2, Eau Claire, WI 54701-4921 | 2019-12-23 |
| 1386287522 | Jenifer Catherine Olson | Social Worker | 5468 Tower Dr, Eau Claire, WI 54703-8722 | 2019-10-21 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1568971182 | Karah Sue Gonstead | Social Worker | 3521 London Rd # B, Eau Claire, WI 54701-7861 | 2017-09-26 |
| 1619295276 | Cynthia A Hunt | Social Worker | 505 S Dewey St Ste 106, Box 17, Eau Claire, WI 54701-3781 | 2010-05-06 |
| 1578737391 | Vera Katerina Matter | Social Worker | 2004 Highland Ave Ste M, Eau Claire, WI 54701-4389 | 2008-04-14 |
| 1346451523 | Andrea L. Gustafson | Social Worker | 1808 Folsom St, Eau Claire, WI 54703-2579 | 2007-05-27 |
| 1497828735 | Lutheran Counseling & Family Services | Social Worker | 601 Fall St, Eau Claire, WI 54703-3157 | 2006-11-16 |
| 1356411227 | John T Yungerberg | Social Worker | 3136 Craig Rd, Eau Claire, WI 54701-6161 | 2006-11-08 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.