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Samantha Wagner

Professional Counselor

63 Brittany Dr
Oakwood Hills , Illinois 60013-6080

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Samantha Wagner

Professional Counselor

63 Brittany Dr
Oakwood Hills , Illinois 60013-6080

(630) 273-1524

Write a Review Save Call

Samantha Wagner

Professional Counselor

63 Brittany Dr
Oakwood Hills , Illinois 60013-6080

(630) 273-1524 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Professional Counselor

Languages spoken

  • English

Location

63 Brittany Dr Oakwood Hills , Illinois 60013-6080

First Address

  • Samantha Wagner
  • 63 Brittany Dr
  • Oakwood Hills, IL
  • Zip : 60013-6080
  • Phone : (630) 273-1524

Second Address

  • Samantha Wagner
  • 63 Brittany Dr
  • Oakwood Hills, IL
  • Zip : 60013-6080
  • Phone : (630) 273-1524

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FAQs


Where did Samantha Wagner attend graduate school?

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Where did Samantha Wagner do her residency?

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Where did Samantha Wagner do her fellowship?

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Is Samantha Wagner board certified?

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What type of doctor is Samantha Wagner

Professional Counselor

In what state does Samantha Wagner practice in?

Illinois

Where is Samantha Wagner ’s practice located?

63 Brittany Dr , Oakwood Hills, Illinois, 60013-6080

What is Samantha Wagner ’s gender?

Female

Is Samantha Wagner a sole practitioner?

No

Is Samantha Wagner accepting new patients?

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What languages does Samantha Wagner speak?

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Does Samantha Wagner accept insurance?

Yes, Samantha Wagner accepts insurance

Does Samantha Wagner offers telemedicine?

Samantha Wagner has not indicated if she offers telemedicine

What is Samantha Wagner ’s professional license number?

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What is Samantha Wagner ’s NPI number?

1003480922

Does Samantha Wagner have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YP2500X Professional Counselor 178016407 IL

National Provider Identifier

NPI 1003480922
Provider Name Samantha Wagner
First Address Oakwood Hills, IL 60013-6080
Second Address Oakwood Hills, IL 60013-6080
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 15/05/2021
Last Update Date 15/05/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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