Tanya Wagner, LCSW-C
NPI 1336432749ActiveIndividual· Social Worker· Laurel, MD
Social Worker (LCSW-C) in Laurel, Maryland, licensed in MD and DC, with an NPI issued in May 2011. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1336432749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW-C |
| Sole proprietor | Yes |
| NPI issued | May 17, 2011 |
| Last updated in NPPES | Aug 12, 2024 |
| Certified by provider | Aug 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 16413 | MD |
| Social Worker, Clinical | 1041C0700X | 16413 | MD |
| Social Worker, Clinical | 1041C0700X | LC50079970 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (DC) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Other Social Worker providers in Laurel
- 1922978055
- 1679154694
- 1831910231
- 1376296400
- 1154085058
- 1518343987
- 1154253128
- 1437764438
- 1316834013
- 1780278853
- 1932927951
- 1699669127