VIRGINIA YVONNE WAGNER
NPI 1225539398
Social Worker - Clinical in Centralia, IL

Q: What is Virginia Wagner's NPI number?

The NPI number for Virginia Wagner is 1225539398. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Q: What is Virginia Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Virginia Wagner was last updated on February 23, 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.

Active since February 23, 2018

400 N PLEASANT AVE, CENTRALIA, IL 62801(618) 437-8692(618) 436-6420 Get Directions Write a Review

NPPES record last updated: February 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Virginia Yvonne Wagner NPPES

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

VIRGINIA YVONNE WAGNER (NPI 1225539398) is an individual clinical provider in Centralia, Illinois, licensed in Illinois (149.006812) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1225539398

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameVIRGINIA YVONNE WAGNER

Location Address400 N PLEASANT AVECentralia, IL 62801-3056

Mailing Address928 W 4th StCentralia, IL 62801-5718 · (618) 532-3558 · Fax (618) 436-6420

Phone(618) 437-8692

Fax(618) 436-6420

Sole ProprietorNo

Enumeration DateFebruary 23, 2018

✔ NPI 1225539398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.006812

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

400 N PLEASANT AVE, Centralia, IL 62801

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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.

HONG CHEN MD

Pathology (Anatomic Pathology & Clinical Pathology)