MRS. MACI WAGEMAN CSWA NPI 1801347612

NPI Information

NPI: 1801347612
Provider Name: MRS. MACI WAGEMAN, CSWA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1215 SW G ST GRANTS PASS OREGON 97526
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-2373
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MRS. Maci Wageman, CSWA is a mental health counselor in Grants Pass, OR. MRS. Maci Wageman, CSWA NPI is 1801347612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1215 SW G ST GRANTS PASS OREGON 97526
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-2373

The NPI 1801347612 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 7/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7565A	OTHER		OUTPATIENT MENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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