KRISTYN WAGNER (NPI# 1619490851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490851 |
| Entity Type | Individual |
| Full Name | KRISTYN WAGNER |
| Practice Address |
90 N 31st Street Clinton OK 73601 |
| Mailing Address |
90 N 31st St Clinton OK 73601-9116 |
| Practice Telephone | (580) 323-6021 |
| Practice Fax Number | 5803230828 |
| Mailing Telephone | 5803236021 |
| Mailing Fax Number | 5803230828 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
90 N 31ST STREET |
| City | CLINTON |
| State | OK |
| Zip Code | 73601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| 1518274224 | Penny Jane Lockhart | Counselor | 1101 Dell Drive, Clinton, OK 73601 | 2010-09-02 |
| Find all providers in zip 73601 | ||||
| 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 |
|---|---|---|---|---|
| 1659985455 | Lisa C Frasca | Social Worker | 1802 State Route 31 Ste 233, Clinton, NJ 08809-2033 | 2020-08-31 |
| 1245855972 | Joshua D. Burgess Lcsw | Social Worker | 63 Norton Ave, Clinton, NY 13323-1321 | 2020-06-09 |
| 1588284210 | Kimberly Wheaton Middleton | Social Worker | 552 Springridge Rd Apt C5, Clinton, MS 39056-5631 | 2020-04-22 |
| 1073161204 | Guiding Light Counseling, LLC | Social Worker | 110 Cow Hill Rd, Clinton, CT 06413-1341 | 2019-08-30 |
| 1679130561 | Joseph Patrick Lamb | Social Worker | 2419 W 1850 N, Clinton, UT 84015-5709 | 2019-05-25 |
| 1538620828 | Rachel H Daniels | Social Worker | 1311 Reserve Dr, Clinton, MS 39056-5658 | 2019-03-28 |
| 1629535166 | Tarsha Harris Moore | Social Worker | 8102 Hunters Green Ct, Clinton, MD 20735-2989 | 2019-02-20 |
| 1174090120 | Shifting Your Gears, LLC | Social Worker | 1802 State Route 31, Clinton, NJ 08809-2033 | 2018-10-29 |
| 1285122432 | Jean M Baker | Social Worker | 3 Fountain St Ste 201, Clinton, NY 13323-1747 | 2018-04-24 |
| 1629427976 | Krystal Thorburn | Social Worker | 44 Old Highway 22, Ste 6, Clinton, NJ 08809-1376 | 2016-06-07 |
| Find all providers in CLINTON | ||||
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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.