Alicia Ann Wagner, LIMHP, LCSW, LADC
NPI 1649782574ActiveIndividual· Social Worker, Clinical· Norfolk, NE
Social Worker, Clinical (LIMHP, LCSW, LADC) in Norfolk, Nebraska, licensed in NE, with an NPI issued in November 2017. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1649782574 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LIMHP, LCSW, LADC |
| Sole proprietor | No |
| NPI issued | Nov 1, 2017 |
| Last updated in NPPES | Dec 23, 2023 |
| Certified by provider | Dec 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 1556 | NE |
| Counselor, Mental Health | 101YM0800X | 4490 | NE |
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 (NE) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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