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KELLY MARIE WAGNER LCSW
NPI 1992464465
Social Worker - Clinical in Erie, PA

Active since December 13, 2021PECOS Enrolled
1932 BROOKSBORO DR, ERIE, PA 16510(814) 708-2010 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Oct 12, 2022, Dec 13, 2021 (3 updates tracked since 2021).

About Kelly Marie Wagner Lcsw NPPES

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

KELLY MARIE WAGNER LCSW (NPI 1992464465) is an individual clinical provider in Erie, Pennsylvania, licensed in North Carolina (C018909) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1992464465
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY MARIE WAGNERCredential: LCSW
Location Address1932 BROOKSBORO DRErie, PA 16510-3872
Mailing Address1932 Brooksboro DrErie, PA 16510-3872 · (814) 490-0015
Phone(814) 708-2010
Sole ProprietorYes
Enumeration DateDecember 13, 2021
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1992464465 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 NC · C018909
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.
1932 BROOKSBORO DR, Erie, PA 16510
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Secondary Practice Location 1

Location 177 Central Ave Ste DAsheville, NC 28801-4256 · Phone (828) 333-9320

Other Identifiers 1

OtherC018909NC · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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)

Kelly Marie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16510 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1992464465. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Kelly Wagner located?

Kelly Wagner practices at 1932 Brooksboro Dr, Erie, PA 16510. The listed phone number is (814) 708-2010.

What is Kelly Wagner's specialty?

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

Is Kelly Wagner enrolled in Medicare?

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

What insurance does Kelly Wagner accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kelly 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 Kelly Wagner was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.