WAGNER COUNSELING PLLC SAMANTHA WAGNER SOLE MBR
NPI 1407655509
Social Worker in Rockford, IL

Q: What is Wagner Counseling PLLC Samantha Wagner Sole Mbr's specialty?

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

Active since March 11, 2025

112 N 2ND ST, ROCKFORD, IL 61107(608) 313-4655 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Wagner Counseling Pllc Samantha Wagner Sole Mbr NPPES

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

WAGNER COUNSELING PLLC SAMANTHA WAGNER SOLE MBR (NPI 1407655509) is a healthcare organization registered as a social worker in Rockford, Illinois and active in the NPI registry since March 2025. The organization lists Patty Nunez, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1407655509

Entity TypeOrganization

Primary Taxonomy104100000X

Legal Business NameWAGNER COUNSELING PLLC SAMANTHA WAGNER SOLE MBR

Location Address112 N 2ND STRockford, IL 61107-4051

Mailing Address112 N 2nd StRockford, IL 61107-4051 · (608) 313-4655

Phone(608) 313-4655

Organization SubpartNo

Authorized OfficialPatty NunezCredentialing Specialist · (312) 439-2321

Enumeration DateMarch 11, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1407655509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

112 N 2ND ST, Rockford, IL 61107

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wagner Counseling PLLC Samantha Wagner Sole Mbr's NPI number?

The NPI number for Wagner Counseling PLLC Samantha Wagner Sole Mbr is 1407655509. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Wagner Counseling PLLC Samantha Wagner Sole Mbr located?

Wagner Counseling PLLC Samantha Wagner Sole Mbr is located at 112 N 2nd St, Rockford, IL 61107. The listed phone number is (608) 313-4655.

What is Wagner Counseling PLLC Samantha Wagner Sole Mbr'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 Wagner Counseling PLLC Samantha Wagner Sole Mbr was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.