MR. ANDREW JACOB WAGONER LCSW
NPI 1891393989
Social Worker - Clinical in Jeffersonville, IN

Active since October 12, 2020PECOS EnrolledAccepts Medicare Assignment
460 SPRING ST, JEFFERSONVILLE, IN 47130(812) 913-5462 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Oct 12, 2020 (2 updates tracked since 2020).

About Mr. Andrew Jacob Wagoner Lcsw NPPES

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

MR. ANDREW JACOB WAGONER LCSW (NPI 1891393989) is an individual clinical provider in Jeffersonville, Indiana, licensed in Kentucky (3976) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891393989
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ANDREW JACOB WAGONERCredential: LCSW
Location Address460 SPRING STJeffersonville, IN 47130-3452
Mailing Address460 Spring StJeffersonville, IN 47130-3452 · (812) 913-5462
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 12, 2020
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1891393989 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 KY · 3976
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.
460 SPRING ST, Jeffersonville, IN 47130

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Andrew Jacob Wagoner 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 ID5496168502
PECOS Enrollment IDI20230823004328
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 47130 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Social Worker
460 SPRING ST
JEFFERSONVILLE, IN 47130
Social Worker (Clinical)
460 SPRING ST
JEFFERSONVILLE, IN 47130
Social Worker (Clinical)
460 SPRING ST
JEFFERSONVILLE, IN 47130
Social Worker (Clinical)
460 SPRING ST
JEFFERSONVILLE, IN 47130
Counselor (Mental Health)
460 SPRING ST
JEFFERSONVILLE, IN 47130
Case Manager/Care Coordinator
460 SPRING ST
JEFFERSONVILLE, IN 47130
Community Health Worker
460 SPRING ST
JEFFERSONVILLE, IN 47130
Clinic/Center (Mental Health (Including Community Mental Health Center))
460 SPRING ST
JEFFERSONVILLE, IN 47130

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 Andrew Wagoner's NPI number?

The NPI number for Andrew Wagoner is 1891393989. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Andrew Wagoner located?

Andrew Wagoner practices at 460 Spring St, Jeffersonville, IN 47130. The listed phone number is (812) 913-5462.

What is Andrew Wagoner's specialty?

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

Is Andrew Wagoner enrolled in Medicare?

Yes. Andrew Wagoner 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.

What insurance does Andrew Wagoner accept?

Health plans from CareSource list Andrew Wagoner 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 Andrew Wagoner was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.