Betty Louise Wagner, LCSW
NPI 1720132129ActiveIndividual· Social Worker· Traverse City, MI
Social Worker (LCSW) in Traverse City, Michigan, licensed in MI and OR, with an NPI issued in January 2007. Medicare paid $2,607 for services to 12 patients in 2024.
Overview
| NPI | 1720132129 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6801081590 | MI |
| Social Worker, Clinical | 1041C0700X | L7525 | OR |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 42 across 4 procedure codes |
| Paid by Medicare | $2,607 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 127 social workers in Traverse City · All social workers in Michigan