Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Ann Wagner, LIMHP, LCSW, LADC

Individual provider Mental Health Counselor · NPI 1649782574

Alicia Ann Wagner, LIMHP, LCSW, LADC is a Clinical Social Worker in Norfolk, Nebraska. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
15
Licensed in
NE
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1909 Vicki Ln Ste 105
Norfolk, NE 68701-4542
Phone: (402) 256-7883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1556 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4490 (NE)

Record details

NPI number1649782574
Entity typeIndividual (Type 1)
GenderFemale
Credentials LIMHP , LCSW , LADC
Sole proprietorNo
NPI enumeratedNovember 1, 2017
Last updated in NPPESDecember 23, 2023
Certification dateDecember 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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