Active NPIIndividual provider

Andrea S Wagner, LCSW

Social Worker, Clinical in Westfield, New Jersey

NPI Number1710498068
Practice location
82 Elm St, Westfield, NJ 07090-2158
Fax
—
Last updated
October 13, 2017

Andrea Stephanie Wagner is a Social Worker, Clinical based in Westfield, NJ. Andrea Stephanie Wagner practices in Westfield, NJ and has the professional credentials of LCSW. The NPI Number for Andrea Stephanie Wagner is 1710498068 and holds a License No. 44SC05754500 (NJ). The current practice location address for Andrea Stephanie Wagner is 82 Elm St, Westfield, NJ 07090-2158 and can be reached out via phone at 201-470-4006.

Provider Profile Details

NPI Number
1710498068
Provider Name
Andrea Stephanie Wagner
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
82 Elm St, Westfield, NJ 07090-2158
Phone Number
201-470-4006
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 13, 2017
Last Update Date
October 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Elm St
Westfield, NJ 07090-2158
Zip
07090-2158
Phone Number
201-470-4006
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
Po Box 251
Kearny, NJ 07032-0251
City
Kearny
State
NJ
Zip
07032-0251
Phone Number
201-469-6913

License Information

License Number
44SC05754500
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea S Wagner, LCSW?

The NPI number of Andrea S Wagner, LCSW is 1710498068. It was assigned on October 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Andrea S Wagner, LCSW?

Andrea S Wagner, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05754500.

Where does Andrea S Wagner, LCSW practice?

The practice location is 82 Elm St, Westfield, NJ 07090-2158. The office can be reached at 201-470-4006 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710498068 directly on the NPPES registry website.

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