Ivy Wagner, DBH, LCSW
NPI 1346754702 · Clinical Social Worker · Bandon, OR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivy Wagner, DBH, LCSW is a Clinical Social Worker provider in Bandon, OR (NPI 1346754702).
Provider details
- NPI number
- 1346754702
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- DBH, LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- L11519 (OR)
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
8 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
- 2017-11-21
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Frequently asked questions
- What is Ivy Wagner's NPI number?
- Ivy Wagner's National Provider Identifier (NPI) is 1346754702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivy Wagner's specialty?
- Ivy Wagner is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ivy Wagner located?
- Ivy Wagner's practice location on file with NPPES is 780 2nd St Se Ste 10, Bandon, OR 97411-8354.
- What is Ivy Wagner's phone number?
- The practice phone number listed in the NPPES registry for Ivy Wagner is (541) 329-2144.
- Does Ivy Wagner accept Medicare?
- Ivy Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivy Wagner's NPI active?
- Yes — Ivy Wagner's NPI (1346754702) is active in the NPPES registry as of the last update on 2024-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.