KENDALL TODD CARMAN-WAGNER LICSW
NPI 1962552844
Social Worker - Clinical in Dayton, WA

Q: What is Kendall Carman-wagner's NPI number?

The NPI number for Kendall Carman-wagner is 1962552844. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Kendall Carman-wagner's specialty?

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

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment

1012 S 3RD ST, DAYTON, WA 99328(509) 382-2531 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kendall Todd Carman-wagner Licsw NPPES

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

KENDALL TODD CARMAN-WAGNER LICSW (NPI 1962552844) is an individual clinical provider in Dayton, Washington, licensed in Washington (LW00005301) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Prescott, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1962552844

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKENDALL TODD CARMAN-WAGNERCredential: LICSW

Location Address1012 S 3RD STDayton, WA 99328-1606

Mailing Address350 Equestrian WayWalla Walla, WA 99362-6220 · (509) 529-1496

Phone(509) 382-2531

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJanuary 11, 2007

Last NPPES UpdateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1962552844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WA · LW00005301

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP00000091 (WA)

1012 S 3RD ST, Dayton, WA 99328

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Secondary Practice Location 1

Location 129 Jubilee CirPrescott, WA 99348-8607 · Phone (509) 749-2103 ext. 252 · Fax (509) 749-2076

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Kendall Todd Carman-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 ID6507820982

PECOS Enrollment IDI20230926003686

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 99328 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 $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

MICHAEL LUCE M.D.

Family Medicine