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DR. IVY CHRISTINE WAGNER DBH, LCSW
NPI 1346754702
Social Worker - Clinical in Bandon, OR

Active since November 21, 2017PECOS Enrolled
780 2ND ST SE STE 10, BANDON, OR 97411(541) 329-2144 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Jul 11, 2024, Jun 6, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Ivy Christine Wagner Dbh, Lcsw NPPES

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

DR. IVY CHRISTINE WAGNER DBH, LCSW (NPI 1346754702) is an individual clinical provider in Bandon, Oregon, licensed in Oregon (L11519) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346754702
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. IVY CHRISTINE WAGNERCredential: DBH, LCSW
Location Address780 2ND ST SE STE 10Bandon, OR 97411-8354
Mailing Address790 Bluff Ave SwBandon, OR 97411-9614 · (503) 984-9243
Phone(541) 329-2144
Sole ProprietorNo
Enumeration DateNovember 21, 2017
Last NPPES UpdateAugust 16, 20244 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1346754702 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 OR · L11519
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.
780 2ND ST SE STE 10, Bandon, OR 97411
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivy Christine Wagner Dbh, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ivy Wagner's NPI number?

The NPI number for Ivy Wagner is 1346754702. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Ivy Wagner located?

Ivy Wagner practices at 780 2nd St SE Ste 10, Bandon, OR 97411. The listed phone number is (541) 329-2144.

What is Ivy Wagner's specialty?

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

Is Ivy Wagner enrolled in Medicare?

Yes. Ivy Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Ivy Wagner accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Ivy Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy Wagner was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.