BETTY LOUISE WAGNER LCSW
NPI 1720132129
Social Worker in Traverse City, MI

Q: What is Betty Wagner's NPI number?

The NPI number for Betty Wagner is 1720132129. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Betty Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Betty Wagner was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 22, 2007PECOS Enrolled

1028 BIRMLEY ESTATES DR, TRAVERSE CITY, MI 49696(231) 492-6529 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2021, Jun 26, 2018 (2 updates tracked since 2018).

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About Betty Louise Wagner Lcsw NPPES

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

BETTY LOUISE WAGNER LCSW (NPI 1720132129) is an individual social worker in Traverse City, Michigan, licensed in Michigan (6801081590) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720132129

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameBETTY LOUISE WAGNERCredential: LCSW

Location Address1028 BIRMLEY ESTATES DRTraverse City, MI 49696-8838

Mailing Address1028 Birmley Estates DrTraverse City, MI 49696-8838 · (231) 492-6529

Phone(231) 492-6529

Sole ProprietorYes

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJune 12, 20262 updates tracked since enumeration

NPPES CertifiedJune 12, 2026

✔ NPI 1720132129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801081590

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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L7525 (OR)

1028 BIRMLEY ESTATES DR, Traverse City, MI 49696

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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)

Betty Louise 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

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 Betty Wagner's NPI number?

The NPI number for Betty Wagner is 1720132129. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Betty Wagner located?

Betty Wagner practices at 1028 Birmley Estates Dr, Traverse City, MI 49696. The listed phone number is (231) 492-6529.

What is Betty Wagner's specialty?

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

Is Betty Wagner enrolled in Medicare?

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

What insurance does Betty Wagner accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Betty 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 Betty Wagner was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.