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MRS. HOLLAND VICTORIA WAGNER LCSW
NPI 1669019634
Social Worker - Clinical in Jonesboro, AR

Active since December 09, 2019PECOS Enrolled
3700 ACCESS ROAD, JONESBORO, AR 72401 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2024, Dec 9, 2019 (2 updates tracked since 2019).

About Mrs. Holland Victoria Wagner Lcsw NPPES

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

MRS. HOLLAND VICTORIA WAGNER LCSW (NPI 1669019634) is an individual clinical provider in Jonesboro, Arkansas and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669019634
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. HOLLAND VICTORIA WAGNERCredential: LCSW
Location Address3700 ACCESS ROADJonesboro, AR 72401
Mailing Address2707 Browns LaneJonesboro, AR 72401 · (870) 972-4939 · Fax (870) 972-4911
Sole ProprietorYes
Enumeration DateDecember 9, 2019
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1669019634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3700 ACCESS ROAD, Jonesboro, AR 72401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Holland Victoria Wagner 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.

Medicare Billing Reassignment

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

Arisa Health, Inc.
Same address
Community/Behavioral Health
3700 ACCESS RD
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 140 clinicians in this Medicare group
NPI 1306532767 (870) 972-4000

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 72401 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 $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MALLORY BROOKE MANLEY RN
Registered Nurse
3700 ACCESS ROAD
JONESBORO, AR 72401
Craighead County (870) 680-0607
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC
Community/Behavioral Health
3700 ACCESS ROAD
JONESBORO, AR 72401
Craighead County (870) 972-4000

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 Holland Wagner's NPI number?

The NPI number for Holland Wagner is 1669019634. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Holland Wagner located?

Holland Wagner practices at 3700 Access Road, Jonesboro, AR 72401.

What is Holland Wagner's specialty?

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

Is Holland Wagner enrolled in Medicare?

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

Which organization bills Medicare for Holland Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holland Wagner reassigns Medicare benefits to Arisa Health, Inc. (Jonesboro, AR). 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 Holland Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holland Wagner accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Holland 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 Holland Wagner was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.