LISA DONETTE WAGNER (NPI# 1467613323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467613323 |
| Entity Type | Individual |
| Full Name | LISA DONETTE WAGNER |
| Credential | LMSW |
| Practice Address |
5420 Dashwood Dr Ste 210 Houston TX 77081-5357 |
| Mailing Address |
7619 Portal Dr Houston TX 77071-1828 |
| Practice Telephone | 7138399898 |
| Practice Fax Number | 7138399494 |
| Mailing Telephone | 7139959347 |
| Mailing Fax Number | 7139959347 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 180057501 | 05 | |
| TX | NPI | 1649384991 | 01 |
| TX | 180057502 | 05 | |
| TX | SOCIAL WORK LICENSE | 09909 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346754249 | Lisa Marie Wagner | Nurse Practitioner | 411 E Main St Ste 207b, Aspen, CO 81611-2953 | 2017-11-30 |
| 1679817225 | Lisa A Wagner | Speech-Language Pathologist | 2923 Downing St, Jacksonville, FL 32205-7518 | 2012-11-20 |
| 1295000743 | Lisa Marie Wagner | Licensed Practical Nurse | 70 Howard Ave, Eastchester, NY 10709-2717 | 2012-03-16 |
| 1952534521 | Lisa Marie Wagner | Occupational Therapist | 2830 Carol Rd, York, PA 17402-3852 | 2009-08-31 |
| 1780824375 | Lisa C Wagner | Speech-Language Pathologist | 59 Kinnebrook Rd, Harris, NY 12742 | 2009-02-23 |
| 1578731725 | Lisa Louise Wagner | Audiologist | 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 | 2008-02-11 |
| 1083824593 | Lisa Wagner | Nurse Practitioner | 1250 Broadway, 17th Floor, Visiting Nurse Service of New York, New York, NY 10001 | 2007-05-23 |
| 1982776712 | Lisa Ann Wagner | Dentist | 1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839 | 2006-11-15 |
| 1063418432 | Lisa M. Wagner | Home Health Aide | 328 Antrim Rd, Xenia, OH 45385-2420 | 2005-06-21 |
| 1447654413 | Lisa Wagner | Occupational Therapist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2014-10-20 |
| Street Address |
5420 DASHWOOD DR STE 210 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77081-5357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855893 | Bellaire Family and General Practice Associates, P.a. | Family Medicine | 5420 Dashwood Dr, Suite 100, Houston, TX 77081-5357 | 2005-07-18 |
| 1538792072 | Obiageli Durousseau | Nurse Practitioner | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2020-02-12 |
| 1851816490 | Johanna Pule | Social Worker | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2017-08-04 |
| 1356722458 | Ut Physicians Specialty Services | Pediatrics | 5420 Dashwood Dr, Ste 100, Houston, TX 77081-5357 | 2015-06-15 |
| 1174920458 | Avenue Family Dentistry, Pllc | Dentist | 5420 Dashwood Dr, Suite 300, Houston, TX 77081-5357 | 2014-12-02 |
| 1851705305 | Ut Physicians | Family Medicine | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2014-06-12 |
| 1447682521 | Kourtney Gisell Clark | Audiologist | 5420 Dashwood Dr, 310, Houston, TX 77081-5357 | 2013-07-31 |
| 1689019002 | Associates of Physical Therapy Specialists | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-30 |
| 1982048385 | Jason S Grant | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-29 |
| 1760744866 | Key Choice, LLC | Clinic/Center | 5420 Dashwood Dr, 207, Houston, TX 77081-5332 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
| 1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
| 1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
| Find all providers in zip 77081 | ||||
| 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 |
|---|---|---|---|---|
| 1518568146 | Chanieka Dominique Williams | Social Worker | 12101 Fondren Rd Apt 1210, Houston, TX 77035-4034 | 2020-11-02 |
| 1447858329 | Blooming Tulips-therapy and Consulting, Pllc | Social Worker | 16350 Ella Blvd Apt 914, Houston, TX 77090-7309 | 2020-10-13 |
| 1932714763 | Tamisha E Vital | Social Worker | 8951 Ruthby Suite 6e, Houston, TX 77061 | 2020-09-09 |
| 1629680749 | Irene Jirinzu | Social Worker | 12345 Jones Rd Ste 280, Houston, TX 77070-4959 | 2020-08-19 |
| 1467076661 | Amanda Austin | Social Worker | 4119 Montrose Blvd Ste 150, Houston, TX 77006-4966 | 2020-06-03 |
| 1942821822 | Tamika Harvey | Social Worker | 3333 Cummins St Apt 1608, Houston, TX 77027-5851 | 2020-05-01 |
| 1245851518 | Claire Mclarty Woll | Social Worker | 4019 Aberdeen Way, Houston, TX 77025-2305 | 2020-04-28 |
| 1659908135 | Maritza Vargas Gutierrez | Social Worker | 5400 Griggs Rd Ste 100, Houston, TX 77021-3757 | 2020-03-25 |
| 1811522758 | Universal Care & Transportation Services LLC | Social Worker | 1300 W Sam Houston Pkwy S Ste 100, Houston, TX 77042-2453 | 2020-03-11 |
| 1992337802 | Phong Vo | Social Worker | 1501 Crocker Street, Suite Two, Houston, TX 77019 | 2020-02-08 |
| Find all providers in HOUSTON | ||||
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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.