JERRY MAIN WAGNER
NPI 1346995008
Social Worker - Clinical in Union Mills, NC

Active since February 21, 2022PECOS Enrolled
1494 CAMP CREEK RD, UNION MILLS, NC 28167(828) 423-6886 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 25, 2025, Apr 22, 2024, Nov 13, 2023 and 1 more (4 updates tracked since 2022).

About Jerry Main Wagner NPPES

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

JERRY MAIN WAGNER (NPI 1346995008) is an individual clinical provider in Union Mills, North Carolina, licensed in North Carolina (C018630) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346995008
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJERRY MAIN WAGNER
Location Address1494 CAMP CREEK RDUnion Mills, NC 28167-7900
Mailing Address1494 Camp Creek RdUnion Mills, NC 28167-7900 · (828) 423-6024
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 21, 2022
Last NPPES UpdateJune 25, 20254 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1346995008 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 NC · C018630
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.

1494 CAMP CREEK RD, Union Mills, NC 28167

Accepted 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)

Jerry Main Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406339027
PECOS Enrollment IDI20260312000353
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 28167 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

The NPI number assigned to this healthcare provider is 1346995008, enumerated as an "individual" on February 21, 2022.

The provider is located at 1494 CAMP CREEK RD UNION MILLS, NC 28167 and the phone number is (828) 423-6886.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to verify.