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AMBERLE J WAGNER LCSW
NPI 1467870899
Social Worker - Clinical in El Cajon, CA

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
1630 E MAIN ST, EL CAJON, CA 92021(833) 579-4848 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amberle J Wagner Lcsw NPPES

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

AMBERLE J WAGNER LCSW (NPI 1467870899) is an individual clinical provider in El Cajon, California, licensed in California (126961) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467870899
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBERLE J WAGNERCredential: LCSW
Location Address1630 E MAIN STEl Cajon, CA 92021-5204
Mailing Address1630 E Main StEl Cajon, CA 92021-5204 · (833) 579-4848
Phone(833) 579-4848
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 2, 2014
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1467870899 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 CA · 126961
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 · Mental HealthTaxonomy 101YM0800X
1630 E MAIN ST, El Cajon, CA 92021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amberle J Wagner Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476076365
PECOS Enrollment IDI20250401002609
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.

Medicare Billing Reassignment

Medicare enrollment records show Amberle Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
427 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92021 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

DR. BRET GALLIHUGH DO
Psychiatry & Neurology (Psychiatry)
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (858) 573-0090
MR. CLARE BERNARD SAMPLEY LCSW
Social Worker (Clinical)
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (619) 563-5300
HEIDI BETH PHILIPS LCSW
Social Worker (Clinical)
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (619) 563-5300
MRS. MARYLOU HURLBUT ROBERTS LCSW
Social Worker (Clinical)
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (619) 590-5124
DR. SHIRLEY CHIEN-YI YOUNG PHARM.D.
Pharmacist
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (619) 590-4271
PAOLA OCHOA
Marriage & Family Therapist
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (833) 579-4848
DR. JOANNA JADWIGA PALICA M.D.
Psychiatry & Neurology (Psychiatry)
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (619) 563-5300
DR. ROBERT RYAN GORNEY M.D.
Psychiatry & Neurology (Psychiatry)
1630 E MAIN ST
EL CAJON, CA 92021
San Diego County (877) 496-0450

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 Amberle Wagner's NPI number?

The NPI number for Amberle Wagner is 1467870899. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Amberle Wagner located?

Amberle Wagner practices at 1630 E Main St, El Cajon, CA 92021. The listed phone number is (833) 579-4848.

What is Amberle Wagner's specialty?

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

Is Amberle Wagner enrolled in Medicare?

Yes. Amberle Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amberle Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amberle Wagner reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amberle Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amberle Wagner was last updated on November 4, 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.