Erica Rhea Wagner | Tucson, AZ • PECOS Search

Erica Rhea Wagner

Social Worker

Behavioral Health & Social Service Providers

1050 E River Rd Ste 202, Tucson, AZ 85718-5736

(520) 347-0052 (520) 629-8343

PECOS Enrollment

Based on the most recent information from CMS, provider Erica Rhea Wagner does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669070710
Provider Type
Individual
Full Name
Wagner, Erica Rhea
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/12/2020
Last Updated
8/9/2022

Contact Information

Practice Location

1050 E River Rd Ste 202, Tucson, AZ 85718-5736

Unlisted Fax

Mailing Location

4873 E Cooper St, Tucson, AZ 85711-3617

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW-17719 Arizona