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MR. WILLIAM G WAGNER LISW
NPI 1730265042
Social Worker - Clinical in Albuquerque, NM

Active since October 29, 2006PECOS Enrolled
1330 LOMAS BLVD NW, ALBUQUERQUE, NM 87104(505) 604-1640 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. William G Wagner Lisw NPPES

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

MR. WILLIAM G WAGNER LISW (NPI 1730265042) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (I-3886) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730265042
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WILLIAM G WAGNERCredential: LISW
Location Address1330 LOMAS BLVD NWAlbuquerque, NM 87104-1234
Mailing Address2531 Campbell Rd NwAlbuquerque, NM 87104-3103 · (505) 604-1640
Phone(505) 604-1640
Sole ProprietorYes
Enumeration DateOctober 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730265042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · I-3886
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.
1330 LOMAS BLVD NW, Albuquerque, NM 87104
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Other Identifiers 1

Medicaid39100201NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William G Wagner Lisw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87104 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 5

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

JUDITH B. LAY PHD
Counselor
1330 LOMAS BLVD NW
ALBUQUERQUE, NM 87104
Bernalillo County (505) 766-5311
MS. MAURINE R. RENVILLE LISW
Social Worker (Clinical)
1330 LOMAS BLVD NW
ALBUQUERQUE, NM 87104
Bernalillo County (505) 766-5363
CAROLYN O JONES LPCC
Counselor (Professional)
1330 LOMAS BLVD NW
ALBUQUERQUE, NM 87104
Bernalillo County (505) 243-2335
MS. ANNA E EDER LISW
Social Worker (Clinical)
1330 LOMAS BLVD NW
ALBUQUERQUE, NM 87104
Bernalillo County (505) 974-6706
SHAVANO COUNSELING SERVICES
Counselor (Mental Health)
1330 LOMAS BLVD NW
ALBUQUERQUE, NM 87104
Bernalillo County (479) 530-5772

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 William Wagner's NPI number?

The NPI number for William Wagner is 1730265042. It was assigned to this individual provider in the NPPES registry on October 29, 2006.

Where is William Wagner located?

William Wagner practices at 1330 Lomas Blvd NW, Albuquerque, NM 87104. The listed phone number is (505) 604-1640.

What is William Wagner's specialty?

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

Is William Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.