JENNIFER WAGNER (NPI# 1538653118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538653118 |
| Entity Type | Individual |
| Full Name | JENNIFER WAGNER |
| Credential | LSW |
| Practice Address |
619 Tremont Ave Sw Massillon OH 44647-6468 |
| Mailing Address |
130 High Point Dr Unit 45 Medina OH 44256-3843 |
| Practice Telephone | 3308373555 |
| Practice Fax Number | 3308370513 |
| Mailing Telephone | 3308373555 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S0028718 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508392135 | Jennifer Wagner | Counselor | 702 Holly St, Atlanta, TX 75551-2308 | 2017-05-02 |
| 1881050607 | Jennifer Wagner | Social Worker | 800 S Milwaukee Ave Ste 105, Libertyville, IL 60048-3268 | 2016-01-08 |
| 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 |
| Street Address |
619 TREMONT AVE SW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44647-6468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598083966 | The Twelve of Ohio, Inc. | Community/Behavioral Health | 619 Tremont Ave Sw, Massillon, OH 44647-6468 | 2010-05-11 |
| 1003393950 | Hannah Pittman | Social Worker | 619 Tremont Ave Sw, Massillon, OH 44647-6468 | 2018-07-24 |
| 1093208902 | Rachel Lynne Woodard | Social Worker | 619 Tremont Ave Sw, Massillon, OH 44647-6468 | 2018-06-14 |
| 1316430291 | Rose Chervenak | Social Worker | 619 Tremont Ave Sw, Massillon, OH 44647-6468 | 2018-06-14 |
| 1275026320 | Nessa Pitts | Social Worker | 619 Tremont Ave Sw, Massillon, OH 44647-6468 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215382 | Amanda N Bleigh | Occupational Therapy Assistant | 3046 Beaumont Ave. Nw, Massillon, OH 44647 | 2017-06-15 |
| 1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1801385570 | Morgan Nicolle Clevidence | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2018-05-08 |
| 1811148463 | Lisa Renee Dorland | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2008-10-01 |
| 1427601129 | Kristina D Mcclung | Licensed Practical Nurse | 5233 Revere Ave Nw, Massillon, OH 44647-1231 | 2019-07-22 |
| 1346289782 | Linda Kay Utes-gasber | Licensed Practical Nurse | 4422 Andette Ave Nw, Massillon, OH 44647-1272 | 2006-06-04 |
| 1710315395 | Massillon Cable Tv, Inc | Durable Medical Equipment & Medical Supplies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-10-17 |
| 1598196107 | Massillon Cable Tv Inc | Emergency Response System Companies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-12-06 |
| 1053648816 | Tina Marie Sherlock - Talbott | Nurse's Aide | 9 Country Club Cir Nw, Massillon, OH 44647-5114 | 2009-11-15 |
| Find all providers in zip 44647 | ||||
| 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 |
|---|---|---|---|---|
| 1285174888 | Sharon June Mccauley | Social Worker | 12038 Lochwood St Sw, Massillon, OH 44647-9791 | 2017-03-01 |
| 1528498094 | Laura Burton | Social Worker | 1641 Amherst Rd Ne, Massillon, OH 44646-4139 | 2013-11-20 |
| 1700035805 | Fred F. Butler | Social Worker | 48 6th St Se, Massillon, OH 44646-6874 | 2008-09-12 |
| 1326235706 | Megan Kaufman | Social Worker | 934 Amherst Rd Ne, Massillon, OH 44646-4568 | 2007-09-28 |
| 1821601774 | Kristin Shae Hooten | Social Worker | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2020-08-28 |
| 1720638349 | Andrew John Kleinhenz | Social Worker | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2019-09-16 |
| 1346714144 | Jasmine N Harris | Social Worker | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2019-01-15 |
| 1659848893 | Shaleasha Monique Johnson | Social Worker | 930 Amherst Rd Ne, Massillon, OH 44646-4568 | 2018-10-25 |
| 1588146484 | Maggie L Taylor | Social Worker | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2018-09-06 |
| 1376038570 | Bobby Hamlet | Social Worker | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2018-06-29 |
| Find all providers in MASSILLON | ||||
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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.