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SAMANTHA WAGNER
NPI 1124524608
Social Worker in Rockford, IL

Active since April 03, 2018
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 332-8003(815) 332-6090 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA WAGNER (NPI 1124524608) is an individual social worker in Rockford, Illinois and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1124524608
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSAMANTHA WAGNER
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 387-5600
Phone(815) 332-8003
Fax(815) 332-6090
Sole ProprietorNo
Enumeration DateApril 3, 2018
✔ NPI 1124524608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
8616 NORTHERN AVE, Rockford, IL 61107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY BRUN
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MR. JACOB R WILSON BA
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
SEAN WALSH LPC
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
DEBRA CORRIGAN APN
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 399-9700
JACQUELINE BELTER
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
ALICIA ANDERSON L.S.W.
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 338-8003
CHRISTINA ADAMS
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MELISSA LEE
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1124524608. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Samantha Wagner located?

Samantha Wagner practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 332-8003.

What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Samantha Wagner was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.