ALISSA WAGNER - NPI 1417489196 - Social Worker in Carson City, NV

Q: What is Alissa Wagner's NPI number?

The NPI number for Alissa Wagner is 1417489196. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Alissa 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 Alissa Wagner was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alissa Wagner NPPES

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

ALISSA WAGNER (NPI 1417489196) is an individual clinical provider in Carson City, Nevada, licensed in Nevada (IC-2382) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1417489196

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALISSA WAGNER

Location Address775 FLEISCHMANN WAYCarson City, NV 89703-2995

Mailing Address1955 Oppio StSparks, NV 89431-1970 · (925) 577-8532 · Fax (925) 577-8532

Phone(775) 445-8905

Sole ProprietorYes

Enumeration DateMarch 31, 2017

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1417489196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NV · IC-2382

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 07845-S (NV)

775 FLEISCHMANN WAY, Carson City, NV 89703

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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.

MADISON TAYLOR VICKERS CADC-I

Counselor (Addiction (Substance Use Disorder))