Kevin Wagner, MSW
NPI 1215139894 · Clinical Social Worker · Poplar Bluff, MO
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Wagner, MSW is a Clinical Social Worker provider in Poplar Bluff, MO (NPI 1215139894).
Provider details
- NPI number
- 1215139894
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- License
- SW 04619 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2013-12-26
Frequently asked questions
- What is Kevin Wagner's NPI number?
- Kevin Wagner's National Provider Identifier (NPI) is 1215139894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Wagner's specialty?
- Kevin Wagner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kevin Wagner located?
- Kevin Wagner's practice location on file with NPPES is 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318.
- What is Kevin Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kevin Wagner is (573) 778-4631.
- Does Kevin Wagner accept Medicare?
- Kevin Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Wagner's NPI active?
- Yes — Kevin Wagner's NPI (1215139894) is active in the NPPES registry as of the last update on 2013-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.