Thomas C Wagner, LCSW
Social Worker, Clinical in Las Vegas, NV. Individual provider (NPI-1).
NPI number1407008147
StatusActive
Last updated in NPPESOct 14, 2008
Details
- NPI
- 1407008147
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas C Wagner
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2008
- Last updated
- Oct 14, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 01761-C | NV | Yes |
Practice location
5300 W Sahara AveSuite #104
Las Vegas, NV 89146-0353
Phone 702-248-6290 · Fax 702-248-4720
Mailing address
5300 W Sahara AveSuite #104
Las Vegas, NV 89146-0353
Phone 702-248-6290 · Fax 702-248-4720
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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