Active NPIIndividual providerSole proprietor

Mr. Cary S Wagner, LCSW

Counselor, Mental Health in New Rochelle, New York

NPI Number1780936211
Practice location
956 North Ave, New Rochelle, NY 10804-3601
Fax
—
Last updated
October 8, 2012

Cary S Wagner is a Counselor, Mental Health based in New Rochelle, NY. Cary S Wagner practices in New Rochelle, NY and has the professional credentials of LCSW. The NPI Number for Cary S Wagner is 1780936211 and holds a License No. PR021908-1 (NY). The current practice location address for Cary S Wagner is 956 North Ave, New Rochelle, NY 10804-3601 and can be reached out via phone at 914-633-0680.

Provider Profile Details

NPI Number
1780936211
Provider Name
Cary S Wagner
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
956 North Ave, New Rochelle, NY 10804-3601
Phone Number
914-633-0680
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 8, 2012
Last Update Date
October 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
956 North Ave
New Rochelle, NY 10804-3601
Zip
10804-3601
Phone Number
914-633-0680
New Rochelle, NY 10804Get directions →

Provider Business Mailing Address Details

Address
956 North Ave
New Rochelle, NY 10804-3601
City
New Rochelle
State
NY
Zip
10804-3601
Phone Number
914-633-0680

License Information

License Number
PR021908-1
License State
NY
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Mr. Cary S Wagner, LCSW?

The NPI number of Mr. Cary S Wagner, LCSW is 1780936211. It was assigned on October 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Cary S Wagner, LCSW?

Mr. Cary S Wagner, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number PR021908-1.

Where does Mr. Cary S Wagner, LCSW practice?

The practice location is 956 North Ave, New Rochelle, NY 10804-3601. The office can be reached at 914-633-0680 (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 1780936211 directly on the NPPES registry website.

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