MRS. BERNEETA L WAGONER (LISW) – Social Worker, NPI 1699863894

MRS. BERNEETA L WAGONER (LISW) is a healthcare provider. based in Clarinda, Iowa. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. 00391 (IA). The NPI Number for MRS. BERNEETA L WAGONER (LISW) is 1699863894

Main info

Female
50 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BERNEETA L WAGONER (LISW)
NPI
1699863894
Phone
(712) 542-3501
Address
215 E WASHINGTON ST
Enumeration Date
11 October 2006
Last Update Date
18 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
8820990096
Group Practice PAC ID
7315840428
Professional Enrollment ID
I20040127000435
Address ID
IA516321625CL215XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

828 CLINICAL SOCIAL WORKER in IA

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Provider Addresses for MRS. BERNEETA L WAGONER (LISW)

  • 215, East Washington Street, Clarinda, Page County, Iowa, 51632, United States

    CLARINDA, IA 516321625

    Phone: (712) 542-3501

    Fax: (712) 542-4725

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040127000435IClinical Social WorkerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes17415$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 51632)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315840428View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Mental Health CounselorIA
Clinical Social WorkerIA
Mental Health CounselorIA

Reviews

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Frequently asked questions

Does MRS. BERNEETA L WAGONER (LISW) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. BERNEETA L WAGONER (LISW) uses 1699863894.
Is MRS. BERNEETA L WAGONER (LISW) listed as active for patients and plans?
The listing shows MRS. BERNEETA L WAGONER (LISW) as active in the NPI system.
What taxonomy line describes MRS. BERNEETA L WAGONER (LISW)?
For research purposes, treat MRS. BERNEETA L WAGONER (LISW) as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. BERNEETA L WAGONER (LISW) on a map?
Expect Clarinda, Iowa as a primary anchor for MRS. BERNEETA L WAGONER (LISW) unless the record lists multiple sites.
Why does MRS. BERNEETA L WAGONER (LISW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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