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SARA ELLEN WAGNER LICSW
NPI 1912734245
Social Worker - Clinical in St Louis Park, MN

Active since September 19, 2024PECOS EnrolledAccepts Medicare Assignment
3525 MONTEREY DR, ST LOUIS PARK, MN 55416(952) 993-6200(952) 993-5631 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Jan 7, 2025, Sep 19, 2024 (3 updates tracked since 2024).

About Sara Ellen Wagner Licsw NPPES

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

SARA ELLEN WAGNER LICSW (NPI 1912734245) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (31139) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Saint Cloud.

NPPES Registry Identity

NPI1912734245
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA ELLEN WAGNERCredential: LICSW
Location Address3525 MONTEREY DRSt Louis Park, MN 55416-5275
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-6200
Fax(952) 993-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2024
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1912734245 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 MN · 31139
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.
3525 MONTEREY DR, St Louis Park, MN 55416
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Secondary Practice Location 1

Location 14801 Veterans DrSaint Cloud, MN 56303-2015 · Phone (320) 255-6322

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Sara Ellen Wagner Licsw 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 ID648781005
PECOS Enrollment IDI20250613001709
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

SAMANTHA MARIE SLINGER
Occupational Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
JACQUELYN WARNER R.D.
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
SCOTT HANNEMAN PH.D., L.P
Psychologist (Clinical)
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
MS. ASHLEY ANN BARNES RD,MS
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (262) 412-0807
HANNAH HILL
Marriage & Family Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
BETH MARGARET BRANDENBURG MD
Psychiatry & Neurology (Psychiatry)
3525 MONTEREY DR
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
MEGAN ALISSA SEPTER MA PSYD
Psychologist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
JULIE RUTH FLORES RD, LD
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200

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 Sara Wagner's NPI number?

The NPI number for Sara Wagner is 1912734245. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Sara Wagner located?

Sara Wagner practices at 3525 Monterey Dr, St Louis Park, MN 55416. The listed phone number is (952) 993-6200.

What is Sara Wagner's specialty?

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

Is Sara Wagner enrolled in Medicare?

Yes. Sara 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.

What insurance does Sara Wagner accept?

Health plans from HealthPartners list Sara 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.

Is Sara Wagner affiliated with any hospitals?

According to CMS data, Sara Wagner is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Sara Wagner was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.