Samantha Rose Wagner, LISW
NPI 1598272429ActiveIndividual· Social Worker, Clinical· Boardman, OH
Social Worker, Clinical (LISW) with Open Water Counseling and Recovery LLC and 1 other group, practicing in Boardman, Ohio. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1598272429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | Dec 31, 2017 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.2405525 | OH |
| Social Worker | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Open Water Counseling and Recovery LLCAshtabula, OH · 19 clinicians
- Thrive Counseling LLCWarren, OH · 5 clinicians
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All 18 clinical social workers in Boardman · All clinical social workers in Ohio